Unknown Individual – Family Nurse Practitioner, NPI 1457335176

Unknown Individual is a healthcare provider. based in Danbury, Connecticut. specializing in Family Nurse Practitioner. They hold a License No. F333206 (NY). The NPI Number for Unknown Individual is 1457335176

Main info

Organization
Inactive
26 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1457335176
Phone
(203) 743-5142
Address
58 HUNTER RD
Deactivation Date
24 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9146820700
Graduation Year
2000 (26 years ago)
PAC ID
4284675091
Group Practice PAC ID
6406752963
Professional Enrollment ID
I20050520000912
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

  • 58, Hunter Road, Cornell Hills, Wildmans Landing, Danbury, Western Connecticut Planning Region, Connecticut, 06811, United States

    DANBURY, CT 068113715

    Phone: (203) 743-5142

    Fax: (203) 743-4519

    Type: Mailing

  • Montefiore New Rochelle, 16, Guion Place, New Rochelle, New York, 10801, United States

    SOUND SHORE MEDICAL CENTER-ECP

    NEW ROCHELLE, NY 108015503

    Phone: (914) 632-5000

    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 06811)

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Provider's Procedures

Unknown Individual performs procedures in Family Nurse Practitioner. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERNY81002Urinalysis, manual test1212

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: 6406752963View full group profile
NameSpecialtyState
Qualified AudiologistNY
Diagnostic RadiologyNY
Physician AssistantNY
-CT
-NY
O B S T E T R I C S/ G Y N E C O L O G YNY
A N E S T H E S I O L O G YNY
Physician AssistantCT
O B S T E T R I C S/ G Y N E C O L O G YNY
-CT

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 1457335176.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Danbury, Connecticut 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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