Unknown Individual – Adult Health Nurse Practitioner, NPI 1124500947

Unknown Individual is a healthcare provider. based in Greeley, Colorado. specializing in Adult Health Nurse Practitioner. They hold a License No. APN.0993987-NP (CO). The NPI Number for Unknown Individual is 1124500947

Main info

Organization
Inactive
8 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1124500947
Phone
(720) 744-0666
Address
3855 Cheyenne Dr
Deactivation Date
27 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9708108216
Graduation Year
2018 (8 years ago)
PAC ID
5496093585
Group Practice PAC ID
8921273038
Professional Enrollment ID
I20190215000152
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

  • 3855 Cheyenne Dr

    Greeley, CO 806349338

    Phone: (720) 744-0666

    Type: Location

  • 677 S Colorado Blvd Ste 100

    Denver, CO 802468019

    Phone: (720) 744-0666

    Type: Location

  • Denver, Denver County, Colorado, United States

    DENVER, CO 802468019

    Phone: (720) 744-0666

    Type: Location

  • 15 W DRY CREEK CIR

    LITTLETON, CO 801204485

    Phone: (303) 952-1100

    Fax: (303) 952-8185

    Type: Location

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2518$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 80634)

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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: 8921273038View full group profile

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1124500947?
NPI 1124500947 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Adult Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Greeley, Colorado as the reference point for Unknown Individual, then confirm.
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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