Unknown Individual – Family Nurse Practitioner, NPI 1962473413

Unknown Individual is a healthcare provider. based in Urbandale, Iowa. specializing in Family Nurse Practitioner. They hold a License No. A-116442 (IA). The NPI Number for Unknown Individual is 1962473413

Main info

Organization
Inactive
33 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1962473413
Phone
(515) 248-1447
Address
9943 HICKMAN RD
Deactivation Date
17 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5152481500
Graduation Year
1993 (33 years ago)
PAC ID
9436179967
Group Practice PAC ID
8426966755
Professional Enrollment ID
I20090616000075
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience18
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 9943, Hickman Road, Urbandale, Polk County, Iowa, 50322, United States

    SUITE 105

    URBANDALE, IA 503225304

    Phone: (515) 248-1447

    Fax: (515) 248-1440

    Type: Mailing

  • 412, East Church Street, Marshalltown, Marshall County, Iowa, 50158, United States

    MARSHALLTOWN, IA 501582947

    Phone: (641) 753-4021

    Fax: (641) 753-4025

    Type: Location

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 50322)

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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: 8426966755View full group profile
NameSpecialtyState
-IA
Nurse PractitionerIA
Clinical Social WorkerPA
-IA
-IA
Family PracticeIA
Clinical Social WorkerIA
Nurse PractitionerMN
Emergency Medicine, Family PracticeIA
Physician AssistantIA

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1962473413 as the unique 10-digit identifier.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Urbandale?
Public fields place Unknown Individual around Urbandale, Iowa. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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