Unknown Individual – Family Nurse Practitioner, NPI 1942285556

Unknown Individual is a healthcare provider. based in Burkesville, Kentucky. specializing in Family Nurse Practitioner. They hold a License No. 3003574 (KY). The NPI Number for Unknown Individual is 1942285556

Main info

Organization
Inactive
25 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1942285556
Phone
(270) 864-1472
Address
PO BOX 1080
Deactivation Date
21 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2708642889
Graduation Year
2001 (25 years ago)
PAC ID
2769487685
Group Practice PAC ID
6305947789
Professional Enrollment ID
I20060928000264
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

Provider Addresses for Unknown Individual

  • PO BOX 1080

    BURKESVILLE, KY 427171080

    Phone: (270) 864-1472

    Fax: (270) 864-1693

    Type: Mailing

  • 404 STEVE DR

    RUSSELL SPRINGS, KY 426424622

    Phone: (270) 866-3161

    Fax: (270) 866-3163

    Type: Location

  • 124, Dowell Road, Russell Springs, Russell County, Kentucky, 42642, United States

    RUSSELL SPRINGS, KY 426424278

    Phone: (270) 866-3161

    Fax: (270) 866-3163

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $149.

Total Amount is formed as General ($149) + Research ($0) + Ownership ($0) = $149.

Last reported payment date: 2024-09-09 • Largest payer in this snapshot: ABBVIE INC. ($52).

Total Amount

$149

General + Research + Ownership

Payments

9

Total payment records

General Amount

$149

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-09

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
83036Hemoglobin a1c level3227$0
81003Automated urinalysis test1712$0
View full utilization report →

Insurance plans in this area (ZIP 42717)

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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: 6305947789View full group profile
NameSpecialtyState
Internal MedicineKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Certified Nurse Midwife (Cnm)KY
Clinical Social WorkerKY
Family PracticeKY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1942285556.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Burkesville, Kentucky in our summary view.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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