Individual provider Active NPI

Kimberly Humphrey, FNP-BC

  • Family Nurse Practitioner
  • Mount Pleasant, TX
National Provider Identifier
1215489331
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131881 Issued in TX
Practice address
2001 N Jefferson Ave Ste 202a
Mount Pleasant, TX 75455-2309
Phone
(903) 434-8073
Fax
(903) 434-8076
NPI assigned
Oct 25, 2016
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP131881 TX Primary

Addresses

Primary practice location

2001 N Jefferson Ave Ste 202a
Mount Pleasant, TX 75455-2309

Mailing address

2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338
Phone (903) 577-6000

Other practice location 1

1317 N Hillcrest Dr
Sulphur Springs, TX 75482-2091
Phone (903) 438-1110

Other practice location 2

630 W South St
Benton, AR 72015-4235
Phone (501) 860-7150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221115002476 TX Practitioner - Nurse Practitioner 3072884873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Titus County Hospital DistrictGroup PAC ID 0143203257, 107 clinicians

Practice addresses (Care Compare)

1610 S Jefferson Ave
Mount Pleasant, TX 75455-5614
Phone (903) 577-2273

2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338
Phone (903) 577-6000

2320 Harts Bluff Rd
Mount Pleasant, TX 75455-7453
Phone (903) 577-2273

801 Texas Hwy 37 S
Suite D
Mount Vernon, TX 75457-6597
Phone (903) 577-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP131881TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Titus County Hospital District CurrentSince Nov 1, 2022 Accepting new patients
Titus County Hospital District CurrentSince Nov 1, 2022 Accepting new patients
Titus County Hospital District Past Accepting new patients
Titus County Hospital District Past Accepting new patients

Locations

250 Mount Pleasant Rd
Bogata, TX 75417
Phone (903) 577-2273

1205 Linda Dr
Daingerfield, TX 75638

1610 S Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 572-2273

2001 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 434-8044

2001 N Jefferson Ave
Ste 202A
Mt Pleasant, TX 75455
Phone (903) 434-8073

203 W 20th St
Ste B
Mt Pleasant, TX 75455
Phone (903) 577-8878

2320 Harts Bluff Rd
Mt Pleasant, TX 75455
Phone (903) 434-7068

801 Texas Highway 37 S
Mt Vernon, TX 75457
Phone (903) 537-4548

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1215489331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552338",
            "telephone_number": "903-577-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE STE 202A",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552309",
            "telephone_number": "903-434-8073",
            "fax_number": "903-434-8076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1317 N Hillcrest Dr",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754822091",
            "country_code": "US",
            "telephone_number": "903-438-1110",
            "fax_number": "903-438-1107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 W South St",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "AR",
            "postal_code": "720154235",
            "country_code": "US",
            "telephone_number": "501-860-7150",
            "fax_number": "501-860-7166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "KIMBERLY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

Verify at the official NPI Registry.