Unknown Individual – Nurse Practitioner, NPI 1174635635

Unknown Individual is a healthcare provider. based in Framingham, Massachusetts. specializing in Nurse Practitioner. They hold a License No. 212466 (MA). The NPI Number for Unknown Individual is 1174635635

Main info

Organization
Inactive
24 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1174635635
Phone
(508) 665-4111
Address
571 UNION AVE
Deactivation Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7817424491
Graduation Year
2002 (24 years ago)
PAC ID
6002815206
Group Practice PAC ID
5496907099
Professional Enrollment ID
I20061218000190
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

  • 571, Union Avenue, Framingham Center, Framingham, Middlesex County, Massachusetts, 01702, United States

    FRAMINGHAM, MA 017025855

    Phone: (508) 665-4111

    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)

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 01702)

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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: 5496907099View full group profile
NameSpecialtyState
Nurse PractitionerMA
-MA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
-MA
Nurse PractitionerMA
Nurse PractitionerMA
Emergency MedicineMA
Nurse PractitionerMA

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 1174635635 for Unknown Individual.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Nurse Practitioner for Unknown Individual. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Framingham, Massachusetts?
If you are local to Framingham, Massachusetts, 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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