Unknown Individual – Family Nurse Practitioner, NPI 1174587232

Unknown Individual is a healthcare provider. based in Langhorne, Pennsylvania. specializing in Family Nurse Practitioner. They hold a License No. SP007456 (PA). The NPI Number for Unknown Individual is 1174587232

Main info

Organization
Inactive
24 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1174587232
Phone
(215) 757-8100
Address
170 MIDDLETOWN BLVD
Deactivation Date
15 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2157578100
Graduation Year
2002 (24 years ago)
PAC ID
6002891728
Group Practice PAC ID
9638248214
Professional Enrollment ID
I20040618000531
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

  • Middletown Boulevard, Langhorne Gardens, Middletown Township, Bucks County, Pennsylvania, 19030-4005, United States

    SUITE 101

    LANGHORNE, PA 190473200

    Phone: (215) 757-8100

    Fax: (215) 757-7358

    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 4 Open Payments records for all available years, with a total value of $366.

Total Amount is formed as General ($366) + Research ($0) + Ownership ($0) = $366.

Last reported payment date: 2023-05-18 • Largest payer in this snapshot: Biogen, Inc. ($144).

Total Amount

$366

General + Research + Ownership

Payments

4

Total payment records

General Amount

$366

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-18

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 19047)

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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: 9638248214View full group profile
NameSpecialtyState
Internal MedicinePA
Nurse PractitionerPA
Nurse PractitionerPA
Internal MedicinePA
-PA
Nurse PractitionerPA
Internal MedicinePA
Family PracticePA
-PA
Nurse PractitionerPA

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1174587232?
NPI 1174587232 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Langhorne, Pennsylvania.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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