Unknown Individual – Nurse Practitioner, NPI 1245295138

Unknown Individual is a healthcare provider. based in Hazard, Kentucky. specializing in Nurse Practitioner. They hold a License No. 3004624 (KY). The NPI Number for Unknown Individual is 1245295138

Main info

Organization
Inactive
21 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1245295138
Phone
(606) 439-1316
Address
181 ROY CAMPBELL DR
Deactivation Date
15 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6064396782
Graduation Year
2005 (21 years ago)
PAC ID
1658396684
Group Practice PAC ID
0840107835
Professional Enrollment ID
I20051010000445
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

  • 181, Roy Campbell Drive, Hazard, Perry County, Kentucky, 41701, United States

    HAZARD, KY 417019407

    Phone: (606) 439-1316

    Fax: (606) 436-2667

    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)

CMS reports 6 Open Payments records for all available years, with a total value of $109.

Total Amount is formed as General ($109) + Research ($0) + Ownership ($0) = $109.

Last reported payment date: 2024-07-11 • Largest payer in this snapshot: Alkermes, Inc. ($71).

Total Amount

$109

General + Research + Ownership

Payments

6

Total payment records

General Amount

$109

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-11

Latest reported date

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes37846$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes354100$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes10289$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes9133$0
99239Hospital discharge day management, more than 30 minutes7657$0
View full utilization report →

Insurance plans in this area (ZIP 41701)

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Provider's Procedures

Unknown Individual performs procedures in Nurse Practitioner. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERKY93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report2922

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: 0840107835View full group profile
NameSpecialtyState
-WV
General SurgeryMN
Physician AssistantWV
-KY
Diagnostic RadiologyWV
Interventional CardiologyMD
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyOH
Endocrinology, Internal MedicineNY
Orthopedic SurgeryMS
Nurse PractitionerKY

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1245295138.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What kind of provider is Unknown Individual?
The page reflects Nurse Practitioner for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Kentucky?
You will see Hazard, Kentucky on file for Unknown Individual alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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