Unknown Individual – Family Nurse Practitioner, NPI 1306365689

Unknown Individual is a healthcare provider. based in Toledo, Ohio. specializing in Family Nurse Practitioner. They hold a License No. APRN.CNP.021713 (OH). The NPI Number for Unknown Individual is 1306365689

Main info

Organization
Inactive
9 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1306365689
Phone
(419) 383-3588
Address
3000 Arlington Ave
Deactivation Date
6 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8779069699
Graduation Year
2017 (9 years ago)
PAC ID
6305107194
Group Practice PAC ID
6204837388
Professional Enrollment ID
I20180216002327
Data current as of
20 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

  • 3000 Arlington Ave

    Toledo, OH 43614

    Phone: (419) 383-3588

    Fax: (419) 383-3105

    Type: Location

  • Indian Wood Circle, Maumee, Lucas County, Ohio, 43537, United States

    MAUMEE, OH 435374039

    Phone: (419) 578-8594

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $1,271.

Total Amount is formed as General ($1,271) + Research ($0) + Ownership ($0) = $1,271.

Last reported payment date: 2024-07-25 • Largest payer in this snapshot: ABBVIE INC. ($612).

Total Amount

$1,271

General + Research + Ownership

Payments

49

Total payment records

General Amount

$1,271

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.

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 minutes917188$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes285124$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes104101$0
View full utilization report →

Insurance plans in this area (ZIP 43614)

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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: 6204837388View full group profile
NameSpecialtyState
-IN
-OH
Nurse PractitionerOH
-IL
P S Y C H I A T R YCA
Nurse PractitionerMI
Clinical Social WorkerOH
Clinical Social WorkerTN
Clinical PsychologistIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1306365689.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Toledo, Ohio?
If you are local to Toledo, Ohio, Unknown Individual may be relevant to your search.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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