Unknown Individual – Adult Health Nurse Practitioner, NPI 1427028224

Unknown Individual is a healthcare provider. based in Grants pass, Oregon. specializing in Adult Health Nurse Practitioner. They hold a License No. 122659 (MO). The NPI Number for Unknown Individual is 1427028224

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1427028224
Phone
(541) 474-9400
Address
181 NW BUNNELL AVE
Deactivation Date
13 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5417874360
Graduation Year
1995 (31 years ago)
PAC ID
7810055001
Group Practice PAC ID
7416132246
Professional Enrollment ID
I20081016000116
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

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Provider Addresses for Unknown Individual

  • Northwest Bunnell Avenue, Grants Pass, Josephine County, Oregon, 97526, United States

    GRANTS PASS, OR 975266012

    Phone: (541) 474-9400

    Fax: (541) 474-2232

    Type: Location

  • 1016, Omaha Drive, Grants Pass, Josephine County, Oregon, 97527, United States

    GRANTS PASS, OR 975275753

    Phone: (541) 474-9400

    Fax: (541) 474-2232

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 55 Open Payments records for all available years, with a total value of $1,226.

Total Amount is formed as General ($1,226) + Research ($0) + Ownership ($0) = $1,226.

Last reported payment date: 2024-01-04 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($215).

Total Amount

$1,226

General + Research + Ownership

Payments

55

Total payment records

General Amount

$1,226

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-04

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
99214Established patient office or other outpatient visit, 30-39 minutes500106$0
99213Established patient office or other outpatient visit, 20-29 minutes7244$0
99215Established patient office or other outpatient visit, 40-54 minutes3835$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1616$0
View full utilization report →

Insurance plans in this area (ZIP 97526)

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Provider's Procedures

Unknown Individual performs procedures in Adult Health Nurse Practitioner. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONEROR93922Ultrasound study of arteries of both arms and legs5656

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1427028224.
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 does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Grants Pass, Oregon in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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