Unknown Individual – Family Nurse Practitioner, NPI 1295218329

Unknown Individual is a healthcare provider. based in Youngstown, Ohio. specializing in Family Nurse Practitioner. They hold a License No. 397573 (OH). The NPI Number for Unknown Individual is 1295218329

Main info

Organization
Inactive
8 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1295218329
Phone
(330) 559-4964
Address
6054 APPLECREST CT
Deactivation Date
22 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2342327500
Graduation Year
2018 (8 years ago)
PAC ID
6002152816
Group Practice PAC ID
3173899283
Professional Enrollment ID
I20190116001651
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

  • 6054 APPLECREST CT

    YOUNGSTOWN, OH 445123153

    Phone: (330) 559-4964

    Type: Mailing

  • 6054 Applecrest Ct

    Youngstown, OH 445123153

    Phone: (330) 559-4964

    Type: Location

  • Market Street, Downtown, Youngstown, Mahoning County, Ohio, 44503, United States

    YOUNGSTOWN, OH 445126703

    Phone: (330) 965-9999

    Fax: (330) 757-0000

    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 $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

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 44512)

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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: 3173899283View full group profile
NameSpecialtyState
-OH
Nurse PractitionerOH
P S Y C H I A T R YOH

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1295218329 in the public NPI dataset.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Family Nurse Practitioner is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Youngstown, Ohio may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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