Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1750399812

Psychiatric/Mental Health Nurse Practitioner

Unknown Individual is a healthcare provider. based in Stuart, Florida. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. 3039062 (FL). The NPI Number for Unknown Individual is 1750399812

Main info

Organization

Inactive

55 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1750399812

Phone

(772) 692-3140

Address

1711 NW FEDERAL HWY

Deactivation Date

11 October 2024

Doctor Profile

Medical School Name

OTHER

Secondary Phone

Graduation Year

1971 (55 years ago)

PAC ID

7214996511

Professional Enrollment ID

I20041004000324

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

1711, Northwest Federal Highway, Stuart, Martin County, Florida, 34994, United States
STUART, FL 349949631
Phone: (772) 692-3140
Fax: (772) 692-3144
Type: Location
3098, Southeast Bur Street, Port Saint Lucie, Saint Lucie County, Florida, 34952, United States
PORT ST LUCIE, FL 349525855
Phone: (772) 692-3140
Fax: (772) 692-3144
Type: Mailing

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.

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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 34994)

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Provider's Procedures

Unknown Individual performs procedures in Psychiatric/Mental Health Nurse Practitioner. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
NURSE PRACTITIONER	FL	90792	Psychiatric diagnostic evaluation with medical services	47	45
NURSE PRACTITIONER	FL	90836	Psychotherapy, 45 minutes with patient and/or family member	55	34

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Frequently asked questions

What identifier follows Unknown Individual across health systems?

The NPI 1750399812 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 services align with Unknown Individual's listing?

Unknown Individual's public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.

Is Unknown Individual tied to Stuart, Florida?

If you are local to Stuart, Florida, Unknown Individual may be relevant to your search.

What is the difference between NPI and a medical license?

An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.