Unknown Individual – Family Nurse Practitioner, NPI 1821047572

Unknown Individual is a healthcare provider. based in Hartford, Kentucky. specializing in Family Nurse Practitioner. They hold a License No. 4645P (KY). The NPI Number for Unknown Individual is 1821047572

Main info

Organization
Inactive
21 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1821047572
Phone
(270) 504-1300
Address
PO BOX 148
Deactivation Date
31 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2705263137
Graduation Year
2005 (21 years ago)
PAC ID
0941268098
Group Practice PAC ID
3577477264
Professional Enrollment ID
I20050930000088
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

  • PO BOX 148

    HARTFORD, KY 423470148

    Phone: (270) 504-1300

    Fax: (270) 504-1380

    Type: Mailing

  • McMurtry Avenue, Hartford, Ohio County, Kentucky, 42347, United States

    HARTFORD, KY 423471647

    Phone: (270) 504-1300

    Fax: (270) 504-1380

    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 42347)

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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: 3577477264View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1821047572 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Hartford, Kentucky for Unknown Individual based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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