Unknown Individual – Nurse Practitioner, NPI 1649611674

Unknown Individual is a healthcare provider. based in Louisville, Kentucky. specializing in Nurse Practitioner. They hold a License No. 3008152 (KY). The NPI Number for Unknown Individual is 1649611674

Main info

Organization
Inactive
13 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1649611674
Phone
(502) 448-5850
Address
4700 QUINN DR
Deactivation Date
5 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5024485850
Graduation Year
2013 (13 years ago)
PAC ID
0143522557
Group Practice PAC ID
1153406301
Professional Enrollment ID
I20151231000614
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 4700 QUINN DR

    LOUISVILLE, KY 402162943

    Phone: (502) 448-5850

    Fax: (502) 448-9562

    Type: Location

  • 12201 BLUEGRASS PKWY

    LOUISVILLE, KY 402992361

    Phone: (502) 568-7364

    Fax: (502) 568-7136

    Type: Mailing

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
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes1,18882$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes70282$0
99421Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes10352$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes7651$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 40216)

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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: 1153406301View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineKY
Nurse PractitionerFL
-KY
Nurse PractitionerKY
-KY
Nurse PractitionerKY
-KY
-KY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1649611674 uniquely identifies Unknown Individual in U.S. healthcare data.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Louisville, Kentucky?
If you are local to Louisville, Kentucky, Unknown Individual may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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