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Active NPI 1619978178 Individual Practitioner Male Practitioner

Reginald L Humphrey , NP

Nurse Practitioner • Fort Wayne, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Reginald Humphrey, NP is a certified Nurse Practitioner practicing in Fort Wayne, IN. With approximately 27 years of clinical experience since completing medical education in 1999, Reginald Humphrey delivers high-quality medical care to the local community at 11109 PARKVIEW PLAZA DR.

Reginald Humphrey is affiliated with Parkview Health System Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, hospital observation care. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11109 Parkview Plaza Dr

Fort Wayne, IN 468451701

Telephone 2602662020
Fax 2602662009
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fort Wayne, IN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs +17.8 yrs vs City Avg
City Avg: 9.2 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
526 Specialists

Practicing in Fort Wayne, IN (2620 Statewide)

Telehealth Adoption Rate
23.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Humphrey (27 Years) 27 Yrs
Fort Wayne Specialty Average (9.2 Years) 9.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
90 89 $257.00 $102.69

Medical Specialties & State Licenses

CMS Verified: 2022-10-20
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71000812A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License TN APN0000012531

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200262080 (IN)

Hospital & Practice Group Affiliations

Parkview Health System Inc

11109 Parkview Plaza Dr, Fort Wayne, IN 468451701

Phone: 2602662020

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
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Doctor of Medicine (M.D.)

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Internal Medicine

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Doctor of Medicine (M.D.)

Dr. Jyostna Pulla , MD

Internal Medicine

NPI 1114274586

Doctor of Medicine (M.D.)

NPI 1174698278

Doctor of Medicine (M.D.)

NPI 1174771604

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2022

Nurse Practitioner (License #APN0000012531 in TN)

📍
Updated Business Mailing Address July 02, 2021

Registered at 11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 468451701

NPI Profile Active November 13, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address November 13, 2017

Registered at 3702 NEW VISION DR BLDG B, FORT WAYNE, IN 468451703

📍
Updated Practice Location November 13, 2017

Registered at 11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 468451701 (Tel: 2602662020)

👤
Provider Name / Credentials Updated November 13, 2017

Recorded as REGINALD HUMPHREY, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2017

Nurse Practitioner (License #71000812A in IN)

NPI Profile Active April 28, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 28, 2016

Registered at 11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 468451701 (Tel: 2602662020)

📍
Updated Business Mailing Address April 28, 2016

Registered at 3926 NEW VISION DR, BLDG H, FORT WAYNE, IN 468451712 (Tel: 2602662020)

👤
Provider Name / Credentials Updated April 28, 2016

Recorded as REGINALD HUMPHREY, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2016

Nurse Practitioner (License #71000812A in IN)

🟢
Initial NPI Registration & Enumeration August 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619978178
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2005
Last Update: October 20, 2022
Sole Proprietor: No

Mailing Address

11109 Parkview Plaza Dr # 117

Fort Wayne, IN 468451701

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.