Unknown Individual – Family Nurse Practitioner, NPI 1265466890

Unknown Individual is a healthcare provider. based in Telluride, Colorado. specializing in Family Nurse Practitioner. They hold a License No. 112651 (CO). The NPI Number for Unknown Individual is 1265466890

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1265466890
Phone
(970) 728-3848
Address
PO BOX 1229
Deactivation Date
9 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
9707283848
Graduation Year
1995 (31 years ago)
PAC ID
0446357651
Group Practice PAC ID
3678670833
Professional Enrollment ID
I20070523000486
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

  • Telluride Post Office, East Pacific Avenue, Telluride, San Miguel County, Colorado, 81435, United States

    500 W. PACIFIC AVE

    TELLURIDE, CO 814351229

    Phone: (970) 728-3848

    Type: Mailing

  • Telluride Regional Medical Center, 500, West Pacific Avenue, Telluride, San Miguel County, Colorado, 81435, United States

    TELLURIDE, CO 814351229

    Phone: (970) 728-3848

    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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81435)

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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: 3678670833View full group profile
NameSpecialtyState
-CO
Internal Medicine, Family PracticeCO
Family PracticeCO
Mental Health CounselorWY
Nurse PractitionerCO
Family PracticeTX
Physician AssistantCO
Nurse PractitionerCO
Marriage And Family TherapistCO
Family Practice, Family Practice, HospitalistNM

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1265466890 is assigned to Unknown Individual under the national enumeration system.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Colorado?
You will see Telluride, Colorado on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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