Unknown Individual – Family Nurse Practitioner, NPI 1861815904

Unknown Individual is a healthcare provider. based in Dover, Delaware. specializing in Family Nurse Practitioner. They hold a License No. L1-0029211 (DE). The NPI Number for Unknown Individual is 1861815904

Main info

Organization
Inactive
17 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1861815904
Phone
(302) 674-2380
Address
1151 WALKER RD
Deactivation Date
21 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
302674238039
Graduation Year
2009 (17 years ago)
PAC ID
9234452335
Group Practice PAC ID
9739234014
Professional Enrollment ID
I20141222001233
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1151 WALKER RD

    DOVER, DE 199046600

    Phone: (302) 674-2380

    Fax: (302) 674-1299

    Mailing address matches the actual address.

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 19904)

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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: 9739234014View full group profile
NameSpecialtyState
Clinical Social WorkerDE
Nurse PractitionerUT
Nurse PractitionerDE
-DE
Marriage And Family TherapistDE
Clinical Social WorkerDE
-DE
Nurse PractitionerMD
Mental Health CounselorDE
P S Y C H I A T R YDE

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1861815904 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Dover?
Public fields place Unknown Individual around Dover, Delaware. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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