Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1720203060

Unknown Individual is a healthcare provider. based in Evansville, Indiana. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. 2841-033 (WI). The NPI Number for Unknown Individual is 1720203060

Main info

Organization
Inactive
20 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1720203060
Phone
(812) 422-7974
Address
2015 MAXWELL AVE
Deactivation Date
12 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8124227974
Graduation Year
2006 (20 years ago)
PAC ID
4789780545
Professional Enrollment ID
I20121210000095

Contacts

Secure Messaging
officemanager@evansvillepsychiatric.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 2015 MAXWELL AVE

    EVANSVILLE, IN 477114359

    Phone: (812) 422-7974

    Fax: (812) 671-0627

    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)

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5618$0
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Insurance plans in this area (ZIP 47711)

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Provider's Procedures

Unknown Individual performs procedures in Psychiatric/Mental Health Nurse Practitioner. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERIN90833Psychotherapy, 30 minutes with patient and/or family member9123

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1720203060 for Unknown Individual.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Evansville, Indiana in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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