Unknown Individual – Family Nurse Practitioner, NPI 1740262153

Unknown Individual is a healthcare provider. based in Lynn haven, Florida. specializing in Family Nurse Practitioner. They hold a License No. R863343 (MS). The NPI Number for Unknown Individual is 1740262153

Main info

Organization
Inactive
40 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1740262153
Phone
(850) 571-5844
Address
1702 OHIO AVE
Deactivation Date
4 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2692265177
Graduation Year
1986 (40 years ago)
PAC ID
0042207367
Group Practice PAC ID
5294645750
Professional Enrollment ID
I20130829000681
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

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Provider Addresses for Unknown Individual

  • Ohio Avenue, Lynn Haven, Bay County, Florida, 32444, United States

    LYNN HAVEN, FL 324444290

    Phone: (850) 571-5844

    Fax: (850) 571-5845

    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 $21.

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

Last reported payment date: 2023-10-30 • Largest payer in this snapshot: Genentech USA, Inc. ($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

2023-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Genentech USA, Inc.$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
99284Emergency department visit with moderate level of medical decision making4342$0
99285Emergency department visit with high level of medical decision making1616$0
99283Emergency department visit with low level of medical decision making1212$0
View full utilization report →

Insurance plans in this area (ZIP 32444)

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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: 5294645750View full group profile
NameSpecialtyState
-MI
-MI
-MI
Interventional Radiology, Diagnostic RadiologyMI
Physician AssistantMI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
Nurse PractitionerMI
-MI
-MI
Diagnostic RadiologyFL

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1740262153.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is Unknown Individual registered?
Use Lynn Haven, Florida as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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