Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1891148359

Unknown Individual is a healthcare provider. based in Aurora, Colorado. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. 0200715 (CO). The NPI Number for Unknown Individual is 1891148359

Main info

Organization
Inactive
9 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1891148359
Phone
(720) 848-2958
Address
13001 E 17th Pl
Deactivation Date
16 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3036739990
Graduation Year
2017 (9 years ago)
PAC ID
7911265400
Group Practice PAC ID
6204987621
Professional Enrollment ID
I20171209000269
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 13001 E 17th Pl

    Aurora, CO 800452570

    Phone: (720) 848-2958

    Fax: (720) 848-2939

    Type: Location

  • Centennial Peaks Hospital, 2255, South 88th Street, Louisville, Boulder County, Colorado, 80027, United States

    LOUISVILLE, CO 80027

    Phone: (303) 673-9990

    Fax: (303) 666-2082

    Type: Mailing

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 80045)

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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: 6204987621View full group profile
NameSpecialtyState
Nurse PractitionerCO
Psychiatry, NeurologyCO
-CO
P S Y C H I A T R YCO
P S Y C H I A T R YCO
P S Y C H I A T R YCO
-CO

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1891148359.
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 Psychiatric/Mental Health Nurse Practitioner for Unknown Individual. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Aurora, Colorado in the same public data insurers reference.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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