Raquel Humphrey, - Medicare Nurse Practitioner in Brockton, MA

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Raquel Humphrey, is a medicare enrolled "Nurse Practitioner - Family" in Brockton, Massachusetts. Her current practice location is 110 Liberty St, Brockton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 941-7100.

Raquel Humphrey is licensed to practice in Massachusetts (license number RN2390456) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194595801.

Contact Information

Raquel Humphrey,
110 Liberty St,
Brockton, MA 02301-5674
(508) 941-7100
Not Available

Map and Direction




Provider's Profile

Full NameRaquel Humphrey
GenderFemale
SpecialityNurse Practitioner - Family
Location110 Liberty St, Brockton, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194595801
  • Provider Enumeration Date: 01/03/2024
  • Last Update Date: 02/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7618498643
  • Enrollment ID: I20250306003280

Medical Identifiers

Medical identifiers for Raquel Humphrey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194595801NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 353013 (New York)Secondary
363LF0000XNurse Practitioner - Family RN2390456 (Massachusetts)Primary

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. Raquel Humphrey allows following entities to bill medicare on her behalf.
Entity NameSignature Healthcare Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508804949
PECOS PAC ID: 7719876267
Enrollment ID: O20040312000372
Entity NameSignature Healthcare Urgent Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295595700
PECOS PAC ID: 5799228060
Enrollment ID: O20240615000011

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. Raquel Humphrey 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 AddressPractice Location Address
Raquel Humphrey,
680 Centre St,
Brockton, MA 02302-3308

Ph: (508) 941-7100		Raquel Humphrey,
110 Liberty St,
Brockton, MA 02301-5674

Ph: (508) 941-7100

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.