Unknown Individual – Acute Care Nurse Practitioner, NPI 1316266919

Unknown Individual is a healthcare provider. based in Hyannis, Massachusetts. specializing in Acute Care Nurse Practitioner. They hold a License No. RN172333 (MA). The NPI Number for Unknown Individual is 1316266919

Main info

Organization
Inactive
17 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1316266919
Phone
(508) 778-6363
Address
35 CEDAR ST
Deactivation Date
2 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087711800
Graduation Year
2009 (17 years ago)
PAC ID
8123212206
Group Practice PAC ID
6800051970
Professional Enrollment ID
I20101102001366
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

  • 35 CEDAR ST

    HYANNIS, MA 026013009

    Phone: (508) 778-6363

    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 02601)

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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: 6800051970View full group profile
NameSpecialtyState
Nurse PractitionerMA
Internal MedicineMA
-MA
Orthopedic SurgeryPA
Diagnostic RadiologyMA
Diagnostic RadiologyWA
Nurse PractitionerMA
-MA
Nurse PractitionerMA
Family Practice, HospitalistTX

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1316266919.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Hyannis, Massachusetts may find Unknown Individual in results; validate coverage separately.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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