Unknown Individual – Family Nurse Practitioner, NPI 1700238151

Unknown Individual is a healthcare provider. based in Port st lucie, Florida. specializing in Family Nurse Practitioner. They hold a License No. 9226854 (FL). The NPI Number for Unknown Individual is 1700238151

Main info

Organization
Inactive
10 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1700238151
Phone
(772) 497-4456
Address
281 SW LAKE FOREST WAY
Deactivation Date
24 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7722217620
Graduation Year
2016 (10 years ago)
PAC ID
1850677600
Group Practice PAC ID
3375712383
Professional Enrollment ID
I20170411001445
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

  • 281 SW LAKE FOREST WAY

    PORT ST LUCIE, FL 349861771

    Phone: (772) 497-4456

    Type: Mailing

  • 1310 SW SAINT LUCIE WEST BLVD

    PORT ST LUCIE, FL 349862109

    Phone: (772) 398-6200

    Fax: (772) 398-6246

    Type: Location

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 $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-01-25 • Largest payer in this snapshot: Abbott Laboratories ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$21
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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes4831$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes2519$0
99213Established patient office or other outpatient visit, 20-29 minutes2321$0
99344Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 34986)

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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: 3375712383View full group profile

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1700238151; it appears in the national provider directory.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Port St Lucie, Florida because that is what the record indicates for Unknown Individual.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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