Nicole Rae Humphrey (NPI# 1518432954, PAC ID# 4385998590) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1518432954 |
| PAC ID by PECOS | 4385998590 |
| Professional Enrollment ID | I20181106002914 |
| Full Name | Nicole Rae Humphrey |
| Organization Legal Name | ATHENS MEDICAL ASSOCIATES, LLC |
| Address |
207 5th St Racine OH 45771-5012 |
| Phone Number | 7409492673 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9537112685 |
| Number of Group Practice Members | 89 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360014 | OHIOHEALTH O'BLENESS HOSPITAL |
| 360054 | HOLZER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 207 5th St, Racine, OH 45771-5012 | 7409492673 | ATHENS MEDICAL ASSOCIATES, LLC |
| Organization Legal Name | ATHENS MEDICAL ASSOCIATES, LLC |
| Physicians | 81 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Crystal Mills | Family Medicine | Athens Medical Associates, LLC | 1950 Mount Saint Marys Dr, Nelsonville, OH 45764-1280 |
| Earl L Driggs | Podiatry | Athens Medical Associates, LLC | 86 Columbus Cir, Suite 203, Athens, OH 45701-1371 |
| Mark N Rakowsky | Internal Medicine | Athens Medical Associates, LLC | 75 Hospital Dr, Suite 140, Athens, OH 45701-2858 |
| Frederick E. Soliman | Family Medicine | Athens Medical Associates, LLC | 75 Hospital Dr, Suite 350, Athens, OH 45701-2867 |
| Krista Duval | Family Medicine | Athens Medical Associates, LLC | 86 Columbus Cir, Suite 203, Athens, OH 45701-1371 |
| Melinda Eileen Ford | Family Medicine | Athens Medical Associates, LLC | 86 Columbus Cir, Suite 203, Athens, OH 45701-1371 |
| Regina Sayers | Nurse Practitioner | Athens Medical Associates, LLC | 75 Hospital Dr, Suite 140, Athens, OH 45701-2858 |
| Gina J Wilberger | Nurse Practitioner | Athens Medical Associates, LLC | 75 Hospital Dr, Suite 350, Athens, OH 45701-2867 |
| Beverly Anne Wood | Nurse Practitioner | Athens Medical Associates, LLC | 75 Hospital Dr, Suite 260, Athens, OH 45701-2857 |
| James E Sammons | Internal Medicine | Athens Medical Associates, LLC | 86 Columbus Cir, Suite 203, Athens, OH 45701-1371 |
| Street Address |
207 5TH ST |
| City | RACINE |
| State | OH |
| Zip | 45771-5012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela M Stueve | Family Medicine | Nemaha Valley Community Hospital | 207 5th St, Axtell, KS 66403-9623 |
| Douglas D Hunter | Family Medicine | Athens Medical Associates, LLC | 207 5th St, Racine, OH 45771-5012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Junetta A Maynard | Nurse Practitioner | Wirt County Health Services Association, Inc | 920 Elm St, Racine, OH 45771-8902 |
| Kimberly A Jividen | Nurse Practitioner | Wirt County Health Services Association, Inc | 920 Elm St, Racine, OH 45771-8902 |
| Melanie A Weese | Optometry | 109 N 3rd St, Racine, OH 45771-9552 |
| City | RACINE |
| Zip Code | 45771 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | RACINE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Nicole Rae Humphrey.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.