Kimberly Humphrey, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Mount Pleasant, TX
NPI 1215489331 · NPPES record last updated Apr 27, 2026
Key facts
- NPI
- 1215489331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP131881 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 16
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Titus County Hospital District
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
- Titus Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221115002476 | TX | Practitioner - Nurse Practitioner | 3072884873 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Titus County Hospital District | Current |
Accepting new patients | |
| Titus County Hospital District | Current |
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
2001 N Jefferson Ave
Ste 202A
Mt Pleasant, TX 75455
Phone (903) 434-8073
1610 S Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 572-2273
2001 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 434-8044
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP131881 | TX | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75-2950731 | Other | TX | TAX ID |
| 365645601 | Medicaid | TX |
Other providers in Mount Pleasant, TX
- William Wayne Hooks Jr.
- Wendy Howland
- Asa M Hubbard
- Jemetrias Hudson
- Rae Anna Huffman
- Monisola Oluwakemi Joann Iyamah
- Shakeem Iyamah
- Keith Edward James
- Eileen M. Jett
- John Booth
All providers in Mount Pleasant, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.