Individual provider Active NPI

Jamie Humphrey

  • Certified Registered Nurse Anesthetist
  • Lewistown, PA
National Provider Identifier
1487050043
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
104272 Issued in PA
Practice address
400 Highland Ave
Lewistown, PA 17044-1167
Phone
(717) 248-5411
NPI assigned
Nov 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 104272 PA Primary

Addresses

Primary practice location

400 Highland Ave
Lewistown, PA 17044-1167

Mailing address

105B Quarry Rd
Halifax, PA 17032-9759
Phone (315) 406-2079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150129001445 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355665043 Reassigns benefits to 4 organizations
I20170919001244 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355665043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Nittany Medical CenterGroup PAC ID 2365353364, 45 clinicians
Remcare Anesthesia Solutions LLCGroup PAC ID 1052496833, 11 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

1800 E Park Ave
State College, PA 16803-6797
Phone (814) 231-7000

3280 Pleasant Valley Blvd
Altoona, PA 16602-4310
Phone (814) 381-0009

400 Highland Ave
Lewistown, PA 17044-1167
Phone (717) 248-5411

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
104272PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 3, 2019 Accepting new patients
Premier Anesthesia of New York, P.C. Nurse Anesthetist, Certified Registered CurrentSince Aug 7, 2017 Accepting new patients
Remcare Anesthesia Solutions LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 17, 2025 Accepting new patients
Geisinger Clinic CurrentSince Jul 30, 2015 Accepting new patients
Mount Nittany Medical Center Nurse Anesthetist, Certified Registered CurrentSince Mar 27, 2020 Accepting new patients
Mount Nittany Medical Center CurrentSince Mar 27, 2020 Accepting new patients
Geisinger Clinic CurrentSince Jul 30, 2015 Accepting new patients
Geisinger Clinic Current Accepting new patients
Premier Anesthesia of Florida LLC Nurse Anesthetist, Certified Registered PastSince Jan 19, 2020 Accepting new patients

Locations

1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

3280 Pleasant Valley Blvd
Altoona, PA 16602
Phone (814) 381-0009

100 N Academy Ave
Danville, PA 17822

176 Vision Dr
Duncansville, PA 16635
Phone (814) 949-1914

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

311 4th St
Lewistown, PA 17044
Phone (717) 242-7600

400 Highland Ave
Lewistown, PA 17044
Phone (717) 242-7473

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

700 Quincy Ave
Scranton, PA 18510
Phone (570) 340-2100

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

1850 E Park Ave
State College, PA 16803
Phone (814) 234-6750

Organizations & group practices 9

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1487050043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105B QUARRY RD",
            "city": "HALIFAX",
            "state": "PA",
            "postal_code": "170329759",
            "telephone_number": "315-406-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HIGHLAND AVE",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170441167",
            "telephone_number": "717-248-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "104272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewistown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.