Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1245414747

Unknown Individual is a healthcare provider. based in Arcadia, Florida. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. ARNP9314896 (FL). The NPI Number for Unknown Individual is 1245414747

Main info

Organization
Inactive
23 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1245414747
Phone
(863) 494-1242
Address
725 N 12TH AVE BLDG B
Deactivation Date
17 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9542763400
Graduation Year
2003 (23 years ago)
PAC ID
4587927850
Group Practice PAC ID
8123927373
Professional Enrollment ID
I20180419000811
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

  • 725 N 12TH AVE BLDG B

    ARCADIA, FL 342668752

    Phone: (863) 494-1242

    Fax: (863) 491-0466

    Type: Location

  • 101, 8th Avenue West, Palmetto, Manatee County, Florida, 34221, United States

    PALMETTO, FL 342214737

    Phone: (941) 776-4000

    Fax: (941) 845-4963

    Type: Mailing

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 $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-03-09 • Largest payer in this snapshot: ABBVIE INC. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$23
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 34266)

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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: 8123927373View full group profile
NameSpecialtyState
-FL
-FL
Cardiovascular Disease (Cardiology), Internal MedicineFL
-FL
-FL
Thoracic Surgery, Cardiac SurgeryFL
Nurse PractitionerFL
Family PracticeFL
-FL
Cardiovascular Disease (Cardiology)FL

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1245414747 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Arcadia, Florida as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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