Unknown Individual – Family Nurse Practitioner, NPI 1225129448

Unknown Individual is a healthcare provider. based in St michaels, Arizona. specializing in Family Nurse Practitioner. They hold a License No. RN133429 (AZ). The NPI Number for Unknown Individual is 1225129448

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1225129448
Phone
(928) 688-3903
Address
PO BOX 370
Deactivation Date
15 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Secondary Phone
71577937072258
Graduation Year
1984 (42 years ago)
PAC ID
0143498311
Group Practice PAC ID
4284537580
Professional Enrollment ID
I20110714000661
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 370

    ST MICHAELS, AZ 865110370

    Phone: (928) 688-3903

    Fax: (928) 688-4471

    Type: Mailing

  • 49 SUN LANE LOT

    SANDERS, AZ 86512

    Phone: (928) 688-3903

    Fax: (928) 688-4471

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-05-22 • Largest payer in this snapshot: ABIOMED ($33).

Total Amount

$33

General + Research + Ownership

Payments

1

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$33
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 86511)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284537580View full group profile
NameSpecialtyState
C H I R O P R A C T I CWI
P O D I A T R YWI
Physical Therapist In Private PracticeWI
General PracticeMI
Physician AssistantWI
P O D I A T R YWI
Marriage And Family TherapistWI
Internal MedicineMN
P O D I A T R YWI
Marriage And Family TherapistWI

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1225129448 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists St Michaels, Arizona for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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