Unknown Individual – Nurse Practitioner, NPI 1578098570

Unknown Individual is a healthcare provider. based in Blytheville, Arkansas. specializing in Nurse Practitioner. They hold a License No. 2017038724 (MO). The NPI Number for Unknown Individual is 1578098570

Main info

Organization
Inactive
11 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1578098570
Phone
(662) 315-8549
Address
4437 E MAIN ST APT 6
Deactivation Date
20 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8708387300
Graduation Year
2015 (11 years ago)
PAC ID
7719173103
Group Practice PAC ID
5698909067
Professional Enrollment ID
I20170719000455
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 4437 E MAIN ST APT 6

    BLYTHEVILLE, AR 723158401

    Phone: (662) 315-8549

    Mailing address matches the actual address.

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 $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-11-16 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-16

Latest reported date

Top Companies

Largest payers in this snapshot

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6758$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5736$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5633$0
99238Hospital discharge day management, 30 minutes or less4945$0
99284Emergency department visit with moderate level of medical decision making2222$0
View full utilization report →

Insurance plans in this area (ZIP 72315)

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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: 5698909067View full group profile
NameSpecialtyState
Nurse PractitionerVA
-AR
Family PracticeAR
Family PracticeTN
Family PracticeAR
Nurse PractitionerAR
Emergency Medicine, General PracticeAR
Nurse PractitionerAR
Nurse PractitionerAR
-AR

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1578098570.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Blytheville, Arkansas in the data we show; additional addresses may exist on the full record.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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