Unknown Individual – Family Nurse Practitioner, NPI 1750381489

Unknown Individual is a healthcare provider. based in Fort smith, Arkansas. specializing in Family Nurse Practitioner. They hold a License No. A003315 (AR). The NPI Number for Unknown Individual is 1750381489

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1750381489
Phone
(479) 782-6318
Address
1623 ROGERS AVE
Deactivation Date
27 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4792742000
Graduation Year
1996 (30 years ago)
PAC ID
8820044886
Group Practice PAC ID
3870668510
Professional Enrollment ID
I20180910000843
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

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Provider Addresses for Unknown Individual

  • 1623, Rogers Avenue, Fort Smith, Sebastian County, Arkansas, 72901, United States

    FORT SMITH, AR 72901

    Phone: (479) 782-6318

    Fax: (479) 782-7028

    Type: Location

  • South Yale Avenue, Mockingbird, Tulsa, Tulsa County, Oklahoma, 74135, United States

    TULSA, OK 741377620

    Phone: (918) 895-7000

    Fax: (918) 895-7213

    Type: Mailing

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 $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-08-19 • Largest payer in this snapshot: ABBVIE INC. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$14
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 72901)

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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: 3870668510View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YAR
Family PracticeAR
-AR
Family PracticeIL
Nurse PractitionerAR
Nurse PractitionerAR
-OK
G A S T R O E N T E R O L O G YAR
Nurse PractitionerAR
O B S T E T R I C S/ G Y N E C O L O G YAR

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1750381489 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Fort Smith?
Public fields place Unknown Individual around Fort Smith, Arkansas. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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