Unknown Individual – Registered Nurse, NPI 1477850048

Unknown Individual is a healthcare provider. based in Lexington, Kentucky. specializing in Registered Nurse. They hold a License No. 150111 (TN). The NPI Number for Unknown Individual is 1477850048

Main info

Organization
Inactive
16 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1477850048
Phone
(859) 268-1030
Address
425 LEWIS HARGETT CIR
Deactivation Date
22 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6064084000
Graduation Year
2010 (16 years ago)
PAC ID
4284819970
Group Practice PAC ID
3072828193
Professional Enrollment ID
I20110422000011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 425 LEWIS HARGETT CIR

    LEXINGTON, KY 405033590

    Phone: (859) 268-1030

    Type: Mailing

  • 2201 LEXINGTON AVE

    ASHLAND, KY 411012843

    Phone: (606) 408-4000

    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 40503)

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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: 3072828193View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)WV
Certified Registered Nurse Anesthetist (Crna)WV
Certified Registered Nurse Anesthetist (Crna)WV
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)WV
A N E S T H E S I O L O G YKY
-KY
A N E S T H E S I O L O G YWV
-OH

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1477850048 is assigned to Unknown Individual under the national enumeration system.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Registered Nurse. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Kentucky?
You will see Lexington, Kentucky on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1477850048. Always confirm identity and privileges with the practice and licensing boards.