Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1518514884

Unknown Individual is a healthcare provider. based in Devens, Massachusetts. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. RN2278907 (MA). The NPI Number for Unknown Individual is 1518514884

Main info

Organization
Inactive
7 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1518514884
Phone
(978) 615-5200
Address
85 PATTON RD
Deactivation Date
19 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9786155200
Graduation Year
2019 (7 years ago)
PAC ID
2163850355
Group Practice PAC ID
8123319498
Professional Enrollment ID
I20200323001298
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

  • 85, Patton Road, Devens, Harvard, Worcester County, Massachusetts, 01434, United States

    DEVENS, MA 014344401

    Phone: (978) 615-5200

    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 35 Open Payments records for all available years, with a total value of $1,003.

Total Amount is formed as General ($1,003) + Research ($0) + Ownership ($0) = $1,003.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($633).

Total Amount

$1,003

General + Research + Ownership

Payments

35

Total payment records

General Amount

$1,003

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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
99214Established patient office or other outpatient visit, 30-39 minutes2112$0
View full utilization report →

Insurance plans in this area (ZIP 01434)

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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: 8123319498View full group profile
NameSpecialtyState
Nurse PractitionerMA
-NH
Nurse PractitionerRI
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Certified Clinical Nurse Specialist (Cns)MA

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1518514884 in the public NPI dataset.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Devens, Massachusetts in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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