Unknown Individual – Family Nurse Practitioner, NPI 1992874077

Unknown Individual is a healthcare provider. based in Shelby township, Michigan. specializing in Family Nurse Practitioner. They hold a License No. 4704217857 (MI). The NPI Number for Unknown Individual is 1992874077

Main info

Organization
Inactive
20 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1992874077
Phone
(248) 372-6800
Address
8948 CHESTNUT RUN DR
Deactivation Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2486565003
Graduation Year
2006 (20 years ago)
PAC ID
3173525409
Group Practice PAC ID
7012234644
Professional Enrollment ID
I20070215000215

Contacts

Secure Messaging
pcerecords.essmichigan@direct.mihin.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 8948 CHESTNUT RUN DR

    SHELBY TOWNSHIP, MI 483171733

    Phone: (248) 372-6800

    Fax: (248) 355-1402

    Type: Mailing

  • 22170 W 9 MILE RD

    SOUTHFIELD, MI 480336007

    Phone: (248) 372-6800

    Fax: (248) 355-1402

    Type: Location

  • 11111, Hall Road, Utica, Macomb County, Michigan, 48317, United States

    SUITE 105

    UTICA, MI 48317

    Phone: (248) 656-5003

    Fax: (248) 656-5004

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 204 Open Payments records for all available years, with a total value of $9,754.

Total Amount is formed as General ($9,754) + Research ($0) + Ownership ($0) = $9,754.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($1,742).

Total Amount

$9,754

General + Research + Ownership

Payments

204

Total payment records

General Amount

$9,754

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

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 minutes23561$0
90833Psychotherapy with evaluation and management visit, 30 minutes23162$0
90785Psychiatric services complicated by communication factor8338$0
90792Psychiatric diagnostic evaluation with medical services1212$0
View full utilization report →

Insurance plans in this area (ZIP 48317)

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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: 7012234644View full group profile
NameSpecialtyState
Clinical PsychologistMI
Mental Health CounselorMI

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1992874077 for Unknown Individual, then check state licensing separately.
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 primary classification?
Family Nurse Practitioner is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Shelby Township, Michigan; more addresses can appear in NPPES.
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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