Unknown Individual – Primary Care Nurse Practitioner, NPI 1144221979

Unknown Individual is a healthcare provider. based in Orlando, Florida. specializing in Primary Care Nurse Practitioner. They hold a License No. 1-147442 (AL). The NPI Number for Unknown Individual is 1144221979

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1144221979
Phone
(407) 894-4474
Address
1613 N MILLS AVE
Deactivation Date
31 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3347493385
Graduation Year
1995 (31 years ago)
PAC ID
4082869532
Group Practice PAC ID
0941251607
Professional Enrollment ID
I20160309003005
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

  • 1613, Mills Avenue, Lancaster Park, Orlando, Orange County, Florida, 32806, United States

    ORLANDO, FL 328031849

    Phone: (407) 894-4474

    Fax: (407) 894-7136

    Type: Location

  • 301, Mariarden Road, Dadeville, Tallapoosa County, Alabama, 36853, United States

    STE D

    DADEVILLE, AL 368536245

    Phone: (407) 894-4474

    Fax: (407) 894-7136

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $85.

Total Amount is formed as General ($85) + Research ($0) + Ownership ($0) = $85.

Last reported payment date: 2024-08-22 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($38).

Total Amount

$85

General + Research + Ownership

Payments

5

Total payment records

General Amount

$85

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-22

Latest reported date

Top Companies

Largest payers in this snapshot

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99239Hospital discharge day management, more than 30 minutes4140$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3128$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2423$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1717$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 32803)

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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: 0941251607View full group profile
NameSpecialtyState
Internal MedicineAL
-AL
-FL
Internal MedicineTN
Internal Medicine, GastroenterologyAL
Internal MedicineAL
Internal MedicineOH
Internal MedicineAL
Internal MedicineAL
Internal MedicineAL

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1144221979 in the public NPI dataset.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Primary Care Nurse Practitioner is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Orlando, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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