Individual provider Active NPI

Stacey Humphreys, MSN, RN, CPNP

  • Pediatric Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1588749956
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AC008959 Issued in MD
Practice address
106 Milford St Ste 201
Salisbury, MD 21804-6959
Phone
(410) 543-1616
Fax
(410) 543-8497
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024173915 VA
Pediatric Nurse Practitioner 363LP0200X AC008959 MD Primary
Lactation Consultant (Registered Nurse) 163WL0100X 0001267140 VA

Addresses

Primary practice location

106 Milford St Ste 201
Salisbury, MD 21804-6959

Mailing address

106 Milford St Ste 201
Salisbury, MD 21804-6959
Phone (410) 543-1616

Other practice location 1

16244 Bennett Rd
Culpeper, VA 22701-4630
Phone (540) 825-5381

Other practice location 2

1109 Brookdale St
Suite C
Martinsville, VA 24112-4543
Phone (276) 666-7545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20161114002278 VA Practitioner - Nurse Practitioner 8325327372 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001267140VAMDLactation Consultant (Registered Nurse)
AC008959MDMDPediatric Nurse Practitioner
0024173915VAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Martinsville Physician Practices LLC CurrentSince Sep 26, 2016 Accepting new patients
University of Virginia Physicians Group CurrentSince Jan 9, 2023 Accepting new patients
Martinsville Physician Practices LLC CurrentSince Sep 26, 2016 Accepting new patients

Locations

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

16244 Bennett Rd
Culpeper, VA 22701
Phone (540) 825-5381

319 Hospital Dr
Ste 107
Martinsville, VA 24112
Phone (276) 632-0944

1109 Brookdale St
Ste C
Martinsville, VA 24112
Phone (276) 666-7545

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
  • Direct secure messaging: shumphreys548699@direct.healthsystem.virginia.edu

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1588749956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 MILFORD ST STE 201",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046959",
            "telephone_number": "410-543-1616",
            "fax_number": "410-543-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MILFORD ST STE 201",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218046959",
            "telephone_number": "410-543-1616",
            "fax_number": "410-543-8497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16244 Bennett Rd",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227014630",
            "country_code": "US",
            "telephone_number": "540-825-5381",
            "fax_number": "540-829-0945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1109 Brookdale St",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "VA",
            "postal_code": "241124543",
            "country_code": "US",
            "telephone_number": "276-666-7545",
            "fax_number": "276-632-0912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMPHREYS",
        "first_name": "STACEY",
        "credential": "MSN, RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024173915",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "AC008959",
            "primary": true
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "VA",
            "license": "0001267140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.