NPIMap

Individual provider Active NPI

Melissa Humphreys, ARNP

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1215993969
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3660P Issued in KY
Practice address
300 E Market St Ste 200
Louisville, KY 40202-1959
Phone
(502) 852-8953
NPI assigned
Apr 21, 2006
Last updated
May 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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 3660P KY Primary

Addresses

Primary practice location

300 E Market St Ste 200
Louisville, KY 40202-1959

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0330

Other identifiers 1

IdentifierTypeStateIssuer
78010444MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040706000199 KY Practitioner - Nurse Practitioner 6406833797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1941 Bishop LN
Suite 900
Louisville, KY 40218-1963
Phone (502) 852-6684

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3660PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince May 14, 2018 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince May 14, 2018 Accepting new patients
University of Louisville Physicians, Inc. Past Accepting new patients
University of Louisville Research Foundation Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

1010 Neighborhood Pl
Fairdale, KY 40118
Phone (502) 482-8946

1941 Bishop Ln
Ste 900
Louisville, KY 40218
Phone (502) 588-2500

215 Central Ave
Ste 100
Louisville, KY 40208
Phone (502) 588-8720

215 Central Ave
Ste 205
Louisville, KY 40208
Phone (502) 588-8700

300 E Market St
Ste 200
Louisville, KY 40202
Phone (502) 852-8953

401 E Chestnut St
Unit 510
Louisville, KY 40202
Phone (502) 588-4800

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

5601 S 3rd St
#100
Louisville, KY 40214
Phone (502) 361-8801

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

8800 Westport Rd
Louisville, KY 40242
Phone (502) 485-8125

234 Eastbrooke Pkwy
Mt Washington, KY 40047
Phone (502) 538-1241

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 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1215993969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E MARKET ST STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021959",
            "telephone_number": "502-852-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREYS",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3660P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78010444",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.