Unknown Individual – Family Nurse Practitioner, NPI 1134349566

Unknown Individual is a healthcare provider. based in Cincinnati, Ohio. specializing in Family Nurse Practitioner. They hold a License No. COA.03875-NP (OH). The NPI Number for Unknown Individual is 1134349566

Main info

Organization
Inactive
29 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1134349566
Phone
(513) 636-7567
Address
3333 BURNET AVE
Deactivation Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5135641366
Graduation Year
1997 (29 years ago)
PAC ID
1153304951
Group Practice PAC ID
0244314102
Professional Enrollment ID
I20040611000786
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

Provider Addresses for Unknown Individual

  • 3333 BURNET AVE

    ML 5021

    CINCINNATI, OH 452293039

    Phone: (513) 636-7567

    Fax: (866) 422-4002

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $309.

Total Amount is formed as General ($309) + Research ($0) + Ownership ($0) = $309.

Last reported payment date: 2024-05-16 • Largest payer in this snapshot: Novo Nordisk Inc ($123).

Total Amount

$309

General + Research + Ownership

Payments

3

Total payment records

General Amount

$309

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-16

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes5856$0
99203New patient office or other outpatient visit, 30-44 minutes5050$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen2323$0
View full utilization report →

Insurance plans in this area (ZIP 45229)

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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: 0244314102View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists)OH
-OH
Nurse PractitionerOH
Hospitalist, Internal MedicineOH
-OH
Internal MedicineOH
-OH
Internal MedicineOH
Physician AssistantOH
-OH

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 1134349566 for Unknown Individual.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Cincinnati, Ohio. Check all listed addresses for suites or satellite offices.
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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