AMY HUMPHREY (DNP, FNP-BC) – Family Nurse Practitioner, NPI 1265887335
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,366 NURSE PRACTITIONER in OR
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Provider Addresses for AMY HUMPHREY (DNP, FNP-BC)
Centerpointe Drive, Westlake, Lake Oswego, Metro, Clackamas County, Oregon, 97035, United States
LAKE OSWEGO, OR 970358662
Phone: (503) 351-1278
Fax: (866) 770-2037
Type: Location
50 E Croydon Park Rd
Tucson, AZ 857045792
Phone: (520) 696-3438
Type: Location
135 NE 102nd Ave
Portland, OR 972204167
Phone: (503) 894-9005
Fax: (503) 719-4178
Type: Location
1055, Northeast Creeksedge Drive, Jones Farm, Hillsboro, Metro, Washington County, Oregon, 97124, United States
HILLSBORO, OR 971241316
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-06-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160606001602 | I | Nurse Practitioner | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97035)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| - | AZ | |
| - | AZ | |
| - | AZ | |
| - | AZ | |
| Occupational Therapist In Private Practice | NY | |
| - | AZ | |
| Physician Assistant | AZ | |
| Nurse Practitioner | AZ |
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