Elaine Humphries

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

7471392 Issued in ID

Practice address

3875 E Overland Rd Ste 108
Meridian, ID 83642-9047

Phone

(208) 297-5829

NPI assigned

Mar 31, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 23, 2026 through Apr 23, 2028

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elaine.humphries.1@31166.direct.athenahealth.com

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

• Innovative Diabetic Center, LLC

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1235997602
  NPD
• Innovative Wound Solutions, LLC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1649038910
  NPD
• Remote Monitoring Specialist LLC

  • Nurse Practitioner
  • Peoria, AZ
  • NPI 1659232403
  NPD

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1376346429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 E OVERLAND RD STE 108",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 E OVERLAND RD STE 108",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429047",
            "telephone_number": "208-297-5829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10210 N 92nd St",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584509",
            "country_code": "US",
            "telephone_number": "480-493-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMPHRIES",
        "first_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-03-31",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "ID",
            "license": "7471392",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "224079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elaine.humphries@ihcus.net",
            "affiliation": "N",
            "address_1": "10210 N 92nd St",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852584509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dawn Hughes, PHARMD
• Robin McGaw Hughes, PT
• Diane M Hulbert, CNM
• Ryan J Hulbert, PHD
• Taryn Hull
• Tambra Hunter, LMSW
• Michael W Hurd, D.D.S.
• Sean Hurley
• Jeremy Lee Hurst, RN, MSN, NP-C
• Noel Q. Hurst, MS, CCC-SLP

• Acute Care Nurse Practitioner in Meridian, ID
• Providers in Meridian, ID by specialty
• Acute Care Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.