Unknown Individual – Family Nurse Practitioner, NPI 1093253379
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
47 Cavalier Blvd
Suite 120
Florence, KY 410423969
Phone: (859) 757-4353
Type: Location
1401 MADISON AVE
COVINGTON, KY 410113313
Phone: (859) 655-6100
Type: Mailing
120 PROGRESS WAY
OWENTON, KY 403596032
Phone: (844) 655-6100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $326.
Total Amount is formed as General ($326) + Research ($0) + Ownership ($0) = $326.
Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Lilly USA, LLC ($100).
Total Amount
$326
General + Research + Ownership
Payments
18
Total payment records
General Amount
$326
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $100 |
| ABBVIE INC. | $57 |
| Gilead Sciences, Inc. | $50 |
| Amgen Inc. | $18 |
| GlaxoSmithKline, LLC. | $16 |
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96372 | Injection of drug or substance under skin or into muscle | 29 | 12 | $0 |
Insurance plans in this area (ZIP 41042)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | KY | |
| Nurse Practitioner | KY | |
| Family Practice, Emergency Medicine | KY | |
| Clinical Social Worker | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| P S Y C H I A T R Y | KY | |
| Family Practice | KY |
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