Unknown Individual – Family Nurse Practitioner, NPI 1831129527

Unknown Individual is a healthcare provider. based in Freeport, Illinois. specializing in Family Nurse Practitioner. They hold a License No. 209005866 (IL). The NPI Number for Unknown Individual is 1831129527

Main info

Organization
Inactive
21 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1831129527
Phone
(815) 599-7958
Address
421 W EXCHANGE ST
Deactivation Date
10 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8155998414
Graduation Year
2005 (21 years ago)
PAC ID
4486667821
Group Practice PAC ID
9234041682
Professional Enrollment ID
I20060801000231
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

  • West Exchange Street, Freeport, Stephenson County, Illinois, 61032, United States

    PO BOX 268

    FREEPORT, IL 610324030

    Phone: (815) 599-7958

    Type: Mailing

  • 10, West Linden Street, Freeport, Stephenson County, Illinois, 61032, United States

    FREEPORT, IL 610323310

    Phone: (815) 599-8414

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2024-01-02 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($52).

Total Amount

$97

General + Research + Ownership

Payments

6

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-02

Latest reported date

Top Companies

Largest payers in this snapshot

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
99214Established patient office or other outpatient visit, 30-39 minutes6936$0
36415Insertion of needle into vein for collection of blood sample3527$0
View full utilization report →

Insurance plans in this area (ZIP 61032)

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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: 9234041682View full group profile
NameSpecialtyState
Interventional CardiologyIL
Infectious Disease, Internal MedicineIL
Family PracticeIL
-DE
Family PracticeIL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL
Family PracticeIL
Orthopedic SurgeryIL
Family PracticeIL

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1831129527.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Freeport, Illinois in the data we show; additional addresses may exist on the full record.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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