Unknown Individual – Family Nurse Practitioner, NPI 1083991913

Unknown Individual is a healthcare provider. based in Salida, Colorado. specializing in Family Nurse Practitioner. They hold a License No. APN.0991366-NP (CO). The NPI Number for Unknown Individual is 1083991913

Main info

Organization
Inactive
15 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1083991913
Phone
(719) 530-2048
Address
550 W HWY 50
Deactivation Date
12 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7195302477
Graduation Year
2011 (15 years ago)
PAC ID
8224205570
Group Practice PAC ID
3577451152
Professional Enrollment ID
I20150225002416
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

  • 550 W HWY 50

    SALIDA, CO 812012238

    Phone: (719) 530-2048

    Fax: (719) 530-2055

    Type: Mailing

  • 28374 COUNTY ROAD 317

    HRRMC

    BUENA VISTA, CO 812119158

    Phone: (719) 530-2048

    Fax: (719) 530-2055

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 81201)

Loading plans...

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: 3577451152View full group profile
NameSpecialtyState
-CO
Qualified AudiologistCO
General SurgeryCO
-CO
Nurse PractitionerCO
Orthopedic SurgeryCO
Family PracticeCO
Internal MedicineCO
Family PracticeCO
-CO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1083991913.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Family Nurse Practitioner for Unknown Individual. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Salida, Colorado. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

LESLIE MONAGLE (CFNP)

Family Nurse Practitioner
7788 JEFFERSON ST NE
NPI: 1841299062

MS. JANET D OMMEN (MSN, FNP)

Family Nurse Practitioner
West Highway 50, Salida, Chaffee County, Colorado, 81242, United States
NPI: 1952302366

LINDA L TYPER (CNP)

Family Nurse Practitioner
West Highway 50, Salida, Chaffee County, Colorado, 81242, United States
NPI: 1033295399

MS. SHELLEY K BUNTING (FNP)

Acute Care Nurse Practitioner
501 HEALTH PARK DR STE 150
NPI: 1437371457
3245 E US HIGHWAY 50
NPI: 1275833667

MRS. JULIA H FRITZ (NP)

Women's Health Nurse Practitioner
448 E 1ST ST STE 137
NPI: 1952657298

TRACEY L HEADRICK (NP-C)

Family Nurse Practitioner
106 BLANCA AVE
NPI: 1033450515

ELIZABETH MAE CURIE (NP-C)

Nurse Practitioner
1125 17th St Ste 1000
NPI: 1073964664

MARISSA STARR (FNP)

Family Nurse Practitioner
PO BOX 4535
NPI: 1851879662