Unknown Individual – Family Nurse Practitioner, NPI 1184678062
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
15633 MEADOW CT
PLATTE CITY, MO 640797235
Phone: (816) 803-3021
Type: Location
Corporate Boulevard, Lafayette, Lafayette Parish, Louisiana, 70502, United States
LAFAYETTE, LA 705083870
Phone: (800) 893-9698
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $192.
Total Amount is formed as General ($192) + Research ($0) + Ownership ($0) = $192.
Last reported payment date: 2024-08-01 • Largest payer in this snapshot: Noah Medical Corporation ($192).
Total Amount
$192
General + Research + Ownership
Payments
1
Total payment records
General Amount
$192
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Noah Medical Corporation | $192 |
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 72 | 70 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 44 | 44 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 23 | 23 | $0 |
Insurance plans in this area (ZIP 64079)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Emergency Medicine | TX | |
| Emergency Medicine | VA | |
| Emergency Medicine, Family Practice | TX | |
| Emergency Medicine | NY | |
| Family Practice, Emergency Medicine | TX | |
| Internal Medicine, Pulmonary Disease, Emergency Medicine, Internal Medicine | TX | |
| Emergency Medicine | TX | |
| Emergency Medicine | TX | |
| Emergency Medicine | AZ |
Reviews
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