Unknown Individual – Nurse Practitioner, NPI 1548257637

Unknown Individual is a healthcare provider. based in Jeffersonville, Indiana. specializing in Nurse Practitioner. They hold a License No. 71001005A (IN). The NPI Number for Unknown Individual is 1548257637

Main info

Organization
Inactive
32 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1548257637
Phone
(812) 282-3899
Address
101 HOSPITAL BLVD
Deactivation Date
17 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5025851016
Graduation Year
1994 (32 years ago)
PAC ID
6608841648
Group Practice PAC ID
3779572888
Professional Enrollment ID
I20040901000725
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • Hospital Boulevard, Jeffersonville, Clark County, Indiana, 47190, United States

    JEFFERSONVILLE, IN 471303769

    Phone: (812) 282-3899

    Fax: (812) 282-4173

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 86 Open Payments records for all available years, with a total value of $2,536.

Total Amount is formed as General ($2,536) + Research ($0) + Ownership ($0) = $2,536.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Medtronic, Inc. ($454).

Total Amount

$2,536

General + Research + Ownership

Payments

86

Total payment records

General Amount

$2,536

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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 minutes622575$0
81003Automated urinalysis test588533$0
51798Ultrasound measurement of bladder capacity after voiding483447$0
99213Established patient office or other outpatient visit, 20-29 minutes261247$0
84153Psa (prostate specific antigen) measurement, total215210$0
View full utilization report →

Insurance plans in this area (ZIP 47130)

Loading plans...

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: 3779572888View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerIN
U R O L O G YIN
U R O L O G YIN
Radiation OncologyKY
Nurse PractitionerKY
U R O L O G YIN
Nurse PractitionerIN
U R O L O G YIN
-IN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1548257637.
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 type of care does Unknown Individual provide?
Unknown Individual's profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Jeffersonville, Indiana?
If you are local to Jeffersonville, Indiana, 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.