Unknown Individual – Family Nurse Practitioner, NPI 1922408392

Unknown Individual is a healthcare provider. based in Henderson, Kentucky. specializing in Family Nurse Practitioner. They hold a License No. 3008917 (KY). The NPI Number for Unknown Individual is 1922408392

Main info

Organization
Inactive
12 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1922408392
Phone
(270) 826-0200
Address
452 OLD CORYDON RD
Deactivation Date
29 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2708260200
Graduation Year
2014 (12 years ago)
PAC ID
9335369016
Group Practice PAC ID
3375513641
Professional Enrollment ID
I20140930002817
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 452 OLD CORYDON RD

    HENDERSON, KY 424204645

    Phone: (270) 826-0200

    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 54 Open Payments records for all available years, with a total value of $1,287.

Total Amount is formed as General ($1,287) + Research ($0) + Ownership ($0) = $1,287.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Gilead Sciences, Inc. ($637).

Total Amount

$1,287

General + Research + Ownership

Payments

54

Total payment records

General Amount

$1,287

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

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
99213Established patient office or other outpatient visit, 20-29 minutes2423$0
99214Established patient office or other outpatient visit, 30-39 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 42420)

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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: 3375513641View full group profile
NameSpecialtyState
Physician AssistantFL
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
-KY
-KY
Nurse PractitionerIN

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1922408392 for Unknown Individual.
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.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Henderson, Kentucky?
For routing, start with Henderson, Kentucky for Unknown Individual, then verify phone and hours locally.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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