Unknown Individual – Family Health Clinical Nurse Specialist, NPI 1003015140

Unknown Individual is a healthcare provider. based in Minnetonka, Minnesota. specializing in Family Health Clinical Nurse Specialist. They hold a License No. R147286-0 (MN). The NPI Number for Unknown Individual is 1003015140

Main info

Organization
Inactive
19 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1003015140
Phone
(952) 835-9880
Address
5435 FELTL RD
Deactivation Date
24 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6517896500
Graduation Year
2007 (19 years ago)
PAC ID
7416039250
Group Practice PAC ID
9537072657
Professional Enrollment ID
I20090313000276
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

  • 5435, Feltl Road, Minnetonka, Hennepin County, Minnesota, 55343, United States

    EMERGENCY PHYSICIANS, P.A.

    MINNETONKA, MN 553437983

    Phone: (952) 835-9880

    Fax: (952) 857-1554

    Type: Mailing

  • 5435 Feltl Rd

    Emergency Physicians, P.A.

    Minnetonka, MN 553437983

    Phone: (952) 835-9880

    Fax: (952) 857-1554

    Type: Location

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes108104$0
99214Established patient office or other outpatient visit, 30-39 minutes7979$0
36415Insertion of needle into vein for collection of blood sample2424$0
99204New patient office or other outpatient visit, 45-59 minutes1818$0
81001Manual urinalysis test with examination using microscope, automated1717$0
View full utilization report →

Insurance plans in this area (ZIP 55343)

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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: 9537072657View full group profile
NameSpecialtyState
Physician AssistantMN
-WA
Emergency MedicineMN
-MN
Physician AssistantIA
Emergency MedicineMN
-MN
Physician AssistantMN
Emergency Medicine, Internal MedicineMN
Physician AssistantMN

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 1003015140 for Unknown Individual.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Family Health Clinical Nurse Specialist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Minnetonka, Minnesota in the same public data insurers reference.
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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