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

Stephanie Humbert

Individual provider Primary Care Nurse Practitioner · NPI 1356022560

Stephanie Humbert is a Nurse Practitioner in Waterloo, New York. Qualified in 2023, 3 years ago. Practices with Geneva General Hospital, Inc, a 88-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023

Practice location Address checks out

367 E Main St
Waterloo, NY 13165-1662
Phone: (315) 521-9228
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence F351974-01 (NY)

Record details

NPI number1356022560
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 31, 2023
Last updated in NPPESJuly 31, 2023
Certification dateJuly 30, 2023
Mailing address3605 Lakes Corners Rose Valley Rd, Clyde, NY 14433-9606

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Geneva General Hospital, Inc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Waterloo