Unknown Individual – Medical Physician Assistant, NPI 1295815819

Unknown Individual is a healthcare provider. based in West palm beach, Florida. specializing in Medical Physician Assistant. They hold a License No. PA1839 (FL). The NPI Number for Unknown Individual is 1295815819

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1295815819
Phone
(561) 624-9726
Address
6843 149TH PL N
Deactivation Date
6 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5616242919
Graduation Year
1979 (47 years ago)
PAC ID
4587853122
Group Practice PAC ID
3476559501
Professional Enrollment ID
I20110112000660
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

  • 6843 149TH PL N

    WEST PALM BEACH, FL 334181936

    Phone: (561) 624-9726

    Fax: (561) 624-4775

    Type: Mailing

  • 12959 PALMS WEST DR

    #230

    LOXAHATCHEE, FL 334704937

    Phone: (561) 790-2258

    Fax: (561) 791-7489

    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 33418)

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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: 3476559501View full group profile
NameSpecialtyState
-FL

Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1295815819.
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 services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to West Palm Beach, Florida in registry-derived data.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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