Individual provider Active NPI

Jeffrey Craig Humphrey, RNFNP/PMHNP

  • Family Nurse Practitioner
  • Nederland, TX
National Provider Identifier
1447512843
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
661732 Issued in TX
Practice address
3411 Spurlock Rd
Nederland, TX 77627-6430
Phone
(409) 724-2321
Fax
(409) 729-7237
NPI assigned
Jun 12, 2012
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 661732 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X PMH06260018 TX

Addresses

Primary practice location

3411 Spurlock Rd
Nederland, TX 77627-6430

Mailing address

3411 Spurlock Rd
Nederland, TX 77627-6430
Phone (409) 724-2321

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
I20120711000415 TX Practitioner - Nurse Practitioner 9638334972 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tower Medical Center of Nederland PAGroup PAC ID 8224484654, 3 clinicians

Practice addresses (Care Compare)

3411 Spurlock Rd
Nederland, TX 77627-6430
Phone (409) 724-2321

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Medical Center of Nederland PA CurrentSince Jan 9, 2025 Accepting new patients
Hybrid Primary Care PC CurrentSince Sep 17, 2025 Accepting new patients
Lifeline Urgent Care LLC CurrentSince May 1, 2023 Accepting new patients
Mind Vibe PC Psychiatric/Mental Health CurrentSince Feb 1, 2025 Accepting new patients
Jefferson Emergency Medicine Associates PA Past Accepting new patients

Locations

2219 Texas Ave
Bridge City, TX 77611
Phone (409) 247-6689

13410 Briar Forest Dr
Houston, TX 77077
Phone (281) 771-1144

13410 Briar Forest Dr
Ste 190
Houston, TX 77077
Phone (281) 670-2302

7777 Southwest Fwy
Ste 934
Houston, TX 77074
Phone (346) 556-1185

1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 945-3640

3411 Spurlock Rd
Nederland, TX 77627
Phone (409) 722-0600

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.

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1447512843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 SPURLOCK RD",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276430",
            "telephone_number": "409-724-2321",
            "fax_number": "409-729-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 SPURLOCK RD",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276430",
            "telephone_number": "409-724-2321",
            "fax_number": "409-729-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "JEFFREY",
        "middle_name": "CRAIG",
        "credential": "RNFNP/PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "661732",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "PMH06260018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, TX

Sources for this page

Verify at the official NPI Registry.