Unknown Individual – Acute Care Nurse Practitioner, NPI 1063484129

Unknown Individual is a healthcare provider. based in The villages, Florida. specializing in Acute Care Nurse Practitioner. They hold a License No. APRN11008434 (FL). The NPI Number for Unknown Individual is 1063484129

Main info

Organization
Inactive
25 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1063484129
Phone
(352) 674-8700
Address
1400 N US HIGHWAY 441 STE 810
Deactivation Date
24 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
1759277213
Professional Enrollment ID
I20040304000990
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1400 N US HIGHWAY 441 STE 810

    THE VILLAGES, FL 321598987

    Phone: (352) 674-8700

    Fax: (352) 674-8714

    Type: Location

  • 3264 Sennett Cir

    Oxford, FL 344843485

    Phone: (901) 268-8635

    Fax: (901) 313-0212

    Type: Location

  • 1575 SANTA BARBARA BLVD

    THE VILLAGES, FL 321596820

    Phone: (352) 674-1740

    Fax: (352) 674-8940

    Type: Location

  • 1020, Lake Sumter Landing, The Villages, Sumter County, Florida, 32162, United States

    THE VILLAGES, FL 321622699

    Phone: (352) 674-8905

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,572199$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes376156$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes36090$0
99203New patient office or other outpatient visit, 30-44 minutes337337$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes21381$0
View full utilization report →

Insurance plans in this area (ZIP 32159)

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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 1063484129.
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 does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with The Villages, Florida in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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