Unknown Individual – Family Nurse Practitioner, NPI 1699215731

Family Nurse Practitioner

Unknown Individual is a healthcare provider. based in West memphis, Arkansas. specializing in Family Nurse Practitioner. They hold a License No. A005053 (AR). The NPI Number for Unknown Individual is 1699215731

Main info

Organization

Inactive

10 Years Of Experience

Name

Unknown Individual

NPI

1699215731

Phone

(870) 732-0332

Address

2201 HORIZAN RD STE 4

Deactivation Date

7 August 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8707320332

Graduation Year

2016 (10 years ago)

PAC ID

2860777182

Group Practice PAC ID

3274606314

Professional Enrollment ID

I20170328001497

Data current as of

20 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

2201 HORIZAN RD STE 4
WEST MEMPHIS, AR 723012926
Phone: (870) 732-0332
Fax: (870) 732-3078
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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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 72301)

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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: 3274606314View full group profile

Name	Specialty	State
Unknown Individual	-	AR
MS. LISA ANN SCHAFER (APN)	-	AR
MR. LANCE MICHAEL HARRELL (APN - BC)	Nurse Practitioner	AR
Unknown Individual	-	AR
VICTORIA HOLLIS (DNP FNP-C)	Nurse Practitioner	AR
LEAH CARLSON	Nurse Practitioner	AR

Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?

In the U.S., Unknown Individual is identified by NPI 1699215731.

What happens when Unknown Individual's NPI is not active?

Public data lists Unknown Individual outside the active bucket for this identifier.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.

Which community is linked to Unknown Individual?

Unknown Individual shows a connection to West Memphis, Arkansas in registry-derived data.

Why is information missing for Unknown Individual?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.