Unknown Individual – Clinical Nurse Specialist, NPI 1962507582

Unknown Individual is a healthcare provider. based in Wilmington, Delaware. specializing in Clinical Nurse Specialist. They hold a License No. LN0000115 (DE). The NPI Number for Unknown Individual is 1962507582

Main info

Organization
Inactive
35 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1962507582
Phone
(025) 623-3993
Address
205 ALDERS DR
Deactivation Date
8 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3026724600
Graduation Year
1991 (35 years ago)
PAC ID
2567591472
Group Practice PAC ID
1658364740
Professional Enrollment ID
I20100602000100
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

Provider Addresses for Unknown Individual

  • 205 ALDERS DR

    WILMINGTON, DE 198035303

    Phone: (025) 623-3993

    Type: Mailing

  • Bayhealth Kent General, 640, South State Street, Morris Estates, Dover, Kent County, Delaware, 19901, United States

    742 BUILDING

    DOVER, DE 199013530

    Phone: (302) 674-3970

    Fax: (302) 672-2350

    Type: Mailing

  • 1100, Forrest Avenue, Woodstock Court, Dover, Kent County, Delaware, 19904, United States

    DOVER, DE 199043309

    Phone: (302) 672-4600

    Fax: (302) 672-4606

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2023-04-17 • Largest payer in this snapshot: Medtronic, Inc. ($54).

Total Amount

$54

General + Research + Ownership

Payments

1

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$54
View all Open Payments →|Open Payments Risk Radar →

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 19803)

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Provider's Procedures

Unknown Individual performs procedures in Clinical Nurse Specialist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED CLINICAL NURSE SPECIALISTDE85610Blood test, clotting time1615
CERTIFIED CLINICAL NURSE SPECIALISTDE93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report176167
CERTIFIED CLINICAL NURSE SPECIALISTDE93284Evaluation, testing and programming adjustment of defibrillator with analysis, review and report7062

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: 1658364740View full group profile
NameSpecialtyState
Nurse PractitionerMD
H E M A T O L O G Y/ O N C O L O G YDE
Internal Medicine, Infectious DiseaseDE
-DE
Certified Nurse Midwife (Cnm)DE
O B S T E T R I C S/ G Y N E C O L O G YDE
Medical OncologyDE
Physician AssistantDE
Certified Nurse Midwife (Cnm)DE
Internal MedicineNY

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1962507582 uniquely identifies Unknown Individual in U.S. healthcare data.
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.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Clinical Nurse Specialist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Wilmington, Delaware?
If you are local to Wilmington, Delaware, Unknown Individual may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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