Patrick Humphries, MSN, RN AGACNP-BC in San Diego, CA

Patrick Humphries, MSN, RN AGACNP-BC is a medicare enrolled "Nurse Practitioner - Family" in San Diego, California. His current practice location is 7901 Frost St, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 939-3400.

Patrick Humphries is licensed to practice in California (license number 95032390) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235957234.

Contact Information

	Patrick Humphries, MSN, RN AGACNP-BC
	7901 Frost St, San Diego, CA 92123-2701
	(858) 939-3400
	Not Available

Map and Direction

Provider's Profile

Full Name	Patrick Humphries
Gender	Male
Speciality	Nurse Practitioner - Family
Location	7901 Frost St, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235957234
Provider Enumeration Date: 09/30/2024
Last Update Date: 04/10/2025

Medicare PECOS Information:

PECOS PAC ID: 5597288704
Enrollment ID: I20250328001022

Medical Identifiers

Medical identifiers for Patrick Humphries such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235957234	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LC0200X	Nurse Practitioner - Critical Care Medicine	95032390 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95032390 (California)	Primary
363LA2100X	Nurse Practitioner - Acute Care	95032390 (California)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Patrick Humphries allows following entities to bill medicare on his behalf.

Entity Name	Emergency And Acute Care Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734

Entity Name	Focus On Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497450530 PECOS PAC ID: 0648624254 Enrollment ID: O20231002001127

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Patrick Humphries is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Patrick Humphries, MSN, RN AGACNP-BC 7901 Frost St, San Diego, CA 92123-2701 Ph: (858) 939-3400	Patrick Humphries, MSN, RN AGACNP-BC 7901 Frost St, San Diego, CA 92123-2701 Ph: (858) 939-3400

Reviews and Comments

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Patrick Humphries, MSN, RN AGACNP-BC - Medicare Nurse Practitioner in San Diego, CA