Individual provider Active NPI

Nicole Humphrey, PMHNP-BC APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Denver, CO
National Provider Identifier
1386160737
Registry record updated Feb 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0994555 Issued in CO
Practice address
1500 N Grant St # 8168
Denver, CO 80203-1859
Phone
(719) 414-7345
Fax
(303) 879-8544
NPI assigned
Aug 17, 2017
Last updated
Feb 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0994555 CO Primary

Addresses

Primary practice location

1500 N Grant St # 8168
Denver, CO 80203-1859

Mailing address

1500 N Grant St # 8168
Denver, CO 80203-1859
Phone (719) 414-7345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20190918000001 CO Practitioner - Nurse Practitioner 1951631969 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0994555COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Strock Medical Group LLC CurrentSince May 20, 2020 Accepting new patients
Mustard Seedz Mental Health LLC Psychiatric/Mental Health Current Accepting new patients
Reiff Mental Health LLC Psychiatric/Mental Health Past Accepting new patients

Locations

1500 N Grant St
#8168
Denver, CO 80203
Phone (719) 414-7345

4704 Harlan St
Ste 340
Denver, CO 80212
Phone (303) 801-7241

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770422400000",
    "number": "1386160737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N GRANT ST # 8168",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031859",
            "telephone_number": "719-414-7345",
            "fax_number": "303-879-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N GRANT ST # 8168",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031859",
            "telephone_number": "719-414-7345",
            "fax_number": "303-879-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "NICOLE",
        "credential": "PMHNP-BC APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2026-02-07",
        "certification_date": "2026-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0994555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.