Unknown Individual – Adult Health Nurse Practitioner, NPI 1205482387

Unknown Individual is a healthcare provider. based in Toledo, Ohio. specializing in Adult Health Nurse Practitioner. They hold a License No. 4704225051 (MI). The NPI Number for Unknown Individual is 1205482387

Main info

Organization
Inactive
7 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1205482387
Phone
(800) 427-1902
Address
333 N SUMMIT ST FL 7
Deactivation Date
16 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2697898227
Graduation Year
2019 (7 years ago)
PAC ID
3476882408
Group Practice PAC ID
9931347879
Professional Enrollment ID
I20190917000305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • North Summit Street, Saint Clair Street Historic District, Toledo, Lucas County, Ohio, 43604, United States

    TOLEDO, OH 436042615

    Phone: (800) 427-1902

    Fax: (419) 531-2664

    Type: Mailing

  • 517 ERIE STREET

    THREE RIVERS, MI 490932029

    Phone: (800) 427-1902

    Fax: (419) 531-2664

    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.

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

Insurance plans in this area (ZIP 43604)

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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: 9931347879View full group profile
NameSpecialtyState
Family PracticeRI
-MI
Nurse PractitionerMI
Hospitalist, Internal MedicineMI
Nurse PractitionerIN
Nurse PractitionerMI
Hospitalist, Internal MedicineMI
Nurse PractitionerMI
Nurse PractitionerMI
Hospitalist, Critical Care (Intensivists)MI

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1205482387?
NPI 1205482387 belongs to Unknown Individual; compare other details if you need extra assurance.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Ohio is Unknown Individual registered?
Use Toledo, Ohio as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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