Unknown Individual – Family Nurse Practitioner, NPI 1215560248

Unknown Individual is a healthcare provider. based in Navarre, Florida. specializing in Family Nurse Practitioner. They hold a License No. APRN11005768 (FL). The NPI Number for Unknown Individual is 1215560248

Main info

Organization
Inactive
7 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1215560248
Phone
(850) 865-0682
Address
2805 BRASWELL ST
Deactivation Date
9 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8509169777
Graduation Year
2019 (7 years ago)
PAC ID
7012347834
Group Practice PAC ID
3274616453
Professional Enrollment ID
I20200420000452
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

  • 2805 BRASWELL ST

    NAVARRE, FL 325667918

    Phone: (850) 865-0682

    Type: Mailing

  • 4700 BAYOU BLVD STE 1C

    PENSACOLA, FL 325032670

    Phone: (850) 916-9777

    Type: Location

  • 41 Fairpoint Dr Ste B

    Gulf Breeze, FL 325614380

    Phone: (850) 916-9777

    Type: Location

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 32566)

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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: 3274616453View full group profile

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1215560248 uniquely identifies Unknown Individual in U.S. healthcare data.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Navarre, Florida?
For routing, start with Navarre, Florida for Unknown Individual, then verify phone and hours locally.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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