Unknown Individual – Acute Care Nurse Practitioner, NPI 1447287230

Unknown Individual is a healthcare provider. based in Beavercreek, Ohio. specializing in Acute Care Nurse Practitioner. They hold a License No. RN.220363 (OH). The NPI Number for Unknown Individual is 1447287230

Main info

Organization
Inactive
22 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1447287230
Phone
(937) 320-5050
Address
75 SYLVANIA DR
Deactivation Date
15 May 2025

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
9373205050
Graduation Year
2004 (22 years ago)
PAC ID
6204845738
Group Practice PAC ID
9537064407
Professional Enrollment ID
I20061003000451
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:0State licenses:4Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 75, Sylvania Drive, Beavercreek, Greene County, Ohio, 45440, United States

    BEAVERCREEK, OH 454403237

    Phone: (937) 320-5050

    Fax: (937) 320-5060

    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 102 Open Payments records for all available years, with a total value of $21,613.

Total Amount is formed as General ($21,613) + Research ($0) + Ownership ($0) = $21,613.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($13,864).

Total Amount

$21,613

General + Research + Ownership

Payments

102

Total payment records

General Amount

$21,613

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

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
99212Established patient office or other outpatient visit, 10-19 minutes276224$0
99213Established patient office or other outpatient visit, 20-29 minutes7875$0
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less1411$0
View full utilization report →

Insurance plans in this area (ZIP 45440)

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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: 9537064407View full group profile
NameSpecialtyState
P A T H O L O G YOH
G A S T R O E N T E R O L O G YOH
Nurse PractitionerTN
Certified Registered Nurse Anesthetist (Crna)OH
G A S T R O E N T E R O L O G YOH
G A S T R O E N T E R O L O G YTN
Physician AssistantOH
G A S T R O E N T E R O L O G YTN
Nurse PractitionerOH
Internal Medicine, GastroenterologyTN

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1447287230 uniquely identifies Unknown Individual in U.S. healthcare data.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Beavercreek, Ohio in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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