Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lynne A. Humphrey, MD

Individual provider Family Medicine Physician · NPI 1487614988

Lynne A. Humphrey, MD is a Family Practice in Fayetteville, New York. Qualified in 1993, 33 years ago. Practices with Physician Mobile Medical Care PC, a 93-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
33
Licensed in
NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4100 Medical Center Dr Ste 104
Fayetteville, NY 13066-6635
Phone: (315) 663-0059
Fax: (315) 663-0123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 199458. (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 199458 (NY)
Hospitalist Physician Taxonomy 208M00000X · Licence 199458 (NY)

Record details

NPI number1487614988
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2006
Last updated in NPPESJune 5, 2023
Certification dateMay 25, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Physician Mobile Medical Care Pc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fayetteville