Unknown Individual – Nurse Practitioner, NPI 1518216597

Unknown Individual is a healthcare provider. based in Henderson, Nevada. specializing in Nurse Practitioner. They hold a License No. RN21194 (NV). The NPI Number for Unknown Individual is 1518216597

Main info

Organization
Inactive
32 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1518216597
Phone
(702) 776-8300
Address
825 N GIBSON RD STE 140
Deactivation Date
27 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7027768300
Graduation Year
1994 (32 years ago)
PAC ID
9436300662
Group Practice PAC ID
7012065576
Professional Enrollment ID
I20121115000184
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

  • 825 N GIBSON RD STE 140

    HENDERSON, NV 890111706

    Phone: (702) 776-8300

    Fax: (702) 304-2147

    Type: Mailing

  • 825 N GIBSON RD STE 311

    HENDERSON, NV 890111706

    Phone: (702) 304-2144

    Fax: (702) 304-2147

    Type: Location

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 $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2024-04-10 • Largest payer in this snapshot: ViiV Healthcare Company ($32).

Total Amount

$32

General + Research + Ownership

Payments

1

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ViiV Healthcare Company$32
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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,272340$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes119112$0
View full utilization report →

Insurance plans in this area (ZIP 89011)

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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: 7012065576View full group profile
NameSpecialtyState
Infectious Disease, Internal MedicineNV
Certified Clinical Nurse Specialist (Cns)NV
Infectious Disease, Internal MedicineNV
Nurse PractitionerNV
Nurse PractitionerNV
Physician AssistantNV
Infectious Disease, Internal MedicineNV
Nurse PractitionerNV
Physician AssistantNV
Internal Medicine, Infectious DiseaseNV

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1518216597; it appears in the national provider directory.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Henderson, Nevada for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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