AMY HUMPHREY (DNP, FNP-BC) – Family Nurse Practitioner, NPI 1265887335

AMY HUMPHREY (DNP, FNP-BC) is a healthcare provider. based in Lake oswego, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, FNP-BC. They hold a License No. AP8622 (AZ). The NPI Number for AMY HUMPHREY (DNP, FNP-BC) is 1265887335

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
AMY HUMPHREY (DNP, FNP-BC)
NPI
1265887335
Phone
(503) 351-1278
Address
5 CENTERPOINTE DR STE 600
Enumeration Date
26 April 2016
Last Update Date
17 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4808689650
Graduation Year
2016 (10 years ago)
PAC ID
3870883770
Group Practice PAC ID
3971665605
Professional Enrollment ID
I20160606001602
Address ID
AZ852095006ME7227XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160606001602INurse PractitionerAZTBD

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.

Verify on CMS Revalidation Lookup Tool

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

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971665605View full group profile

Reviews

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Frequently asked questions

Is AMY HUMPHREY (DNP, FNP-BC) listed with a National Provider Identifier?
Yes — AMY HUMPHREY (DNP, FNP-BC) has NPI 1265887335 on file in the registry.
Is there an active status for AMY HUMPHREY (DNP, FNP-BC)?
For scheduling context, AMY HUMPHREY (DNP, FNP-BC) is shown as active in the registry.
How would a patient describe AMY HUMPHREY (DNP, FNP-BC)'s focus?
For AMY HUMPHREY (DNP, FNP-BC), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Oregon is AMY HUMPHREY (DNP, FNP-BC) registered?
Use Lake Oswego, Oregon as the headline location for AMY HUMPHREY (DNP, FNP-BC) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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