Active NPI
Stacey Humphreys, MSN, RN, CPNP
- Pediatric Nurse Practitioner
- Salisbury, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AC008959
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001267140 | VA | MD | Lactation Consultant (Registered Nurse) |
| AC008959 | MD | MD | Pediatric Nurse Practitioner |
| 0024173915 | VA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martinsville Physician Practices LLC | Current | Accepting new patients | |
| University of Virginia Physicians Group | Current | Accepting new patients | |
| Martinsville Physician Practices LLC | Current | 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
- https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
- 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.
-
- Internal Medicine Physician
- Martinsville, VA
- NPI 1255380887
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Rural Health Clinic/Center
- Martinsville, VA
- NPI 1558049742
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.