Unknown Individual – Family Nurse Practitioner, NPI 1437414562

Unknown Individual is a healthcare provider. based in Las vegas, Nevada. specializing in Family Nurse Practitioner. They hold a License No. 810651 (NV). The NPI Number for Unknown Individual is 1437414562

Main info

Organization
Inactive
15 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1437414562
Phone
(702) 877-8600
Address
PO BOX 35380
Deactivation Date
26 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7025793253
Graduation Year
2011 (15 years ago)
PAC ID
2567610355
Group Practice PAC ID
4981687779
Professional Enrollment ID
I20180817001569
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 35380

    LAS VEGAS, NV 891335380

    Phone: (702) 877-8600

    Type: Mailing

  • 1505 E MAIN ST

    STIGLER, OK 74462

    Phone: (918) 967-3368

    Fax: (918) 967-4582

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Stryker Corporation ($20).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-25

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89133)

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Provider's Procedures

Unknown Individual performs procedures in Family Nurse Practitioner. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONEROK83036Hemoglobin A1C level1313

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: 4981687779View full group profile
NameSpecialtyState
Family PracticeTX
Internal MedicineNV
Physician AssistantNV
-KY
Nurse PractitionerNV
-NV
Nurse PractitionerNV
O B S T E T R I C S/ G Y N E C O L O G YNV
Nurse PractitionerIL
-NV

Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1437414562 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Las Vegas, Nevada as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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