Unknown Individual – Family Nurse Practitioner, NPI 1861428252

Unknown Individual is a healthcare provider. based in Madison, Florida. specializing in Family Nurse Practitioner. They hold a License No. RN099477 (GA). The NPI Number for Unknown Individual is 1861428252

Main info

Organization
Inactive
23 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1861428252
Phone
(850) 973-2271
Address
309 NE MARION ST
Deactivation Date
12 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8509732271
Graduation Year
2003 (23 years ago)
PAC ID
8325147861
Group Practice PAC ID
1456497437
Professional Enrollment ID
I20070623000031
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 309, Northeast Marion Street, Madison, Madison County, Florida, 32340, United States

    MADISON, FL 323402511

    Phone: (850) 973-2271

    Type: Location

  • 1575, Northeast Nixon Way, Madison County, Florida, 32340, United States

    MADISON, FL 323406132

    Phone: (850) 973-2113

    Fax: (850) 973-3415

    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.

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 32340)

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Provider's Procedures

Unknown Individual performs procedures in Family Nurse Practitioner. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERFL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report181133

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: 1456497437View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1861428252 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Florida?
You will see Madison, Florida on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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