Unknown Individual – Family Nurse Practitioner, NPI 1184193047

Unknown Individual is a healthcare provider. based in Bradenton, Florida. specializing in Family Nurse Practitioner. They hold a License No. APRN11000212 (FL). The NPI Number for Unknown Individual is 1184193047

Main info

Organization
Inactive
8 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1184193047
Phone
(941) 404-0076
Address
8610 STATE ROAD 70 E
Deactivation Date
24 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9419210387
Graduation Year
2018 (8 years ago)
PAC ID
1557607462
Group Practice PAC ID
7113994195
Professional Enrollment ID
I20190115000878
Data current as of
20 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

  • 8610 STATE ROAD 70 E

    BRADENTON, FL 342023785

    Phone: (941) 404-0076

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2023-07-19 • Largest payer in this snapshot: ABBVIE INC. ($31).

Total Amount

$31

General + Research + Ownership

Payments

1

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$31
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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes4227$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes1916$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 34202)

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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: 7113994195View full group profile
NameSpecialtyState
Family Practice, Geriatric MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

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 1184193047.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
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 city is tied to Unknown Individual?
The directory associates Unknown Individual with Bradenton, Florida. Check all listed addresses for suites or satellite offices.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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