Unknown Individual – Family Nurse Practitioner, NPI 1235160649

Unknown Individual is a healthcare provider. based in Albrightsville, Pennsylvania. specializing in Family Nurse Practitioner. They hold a License No. UP003352B (PA). The NPI Number for Unknown Individual is 1235160649

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1235160649
Phone
(570) 722-2125
Address
2588 STATE ROUTE 903
Deactivation Date
11 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6106541270
Graduation Year
1995 (31 years ago)
PAC ID
2961527254
Group Practice PAC ID
3072425123
Professional Enrollment ID
I20100909000818
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 2588 STATE ROUTE 903

    STE 2

    ALBRIGHTSVILLE, PA 18210

    Phone: (570) 722-2125

    Fax: (570) 722-2127

    Type: Location

  • Mack Boulevard, South Poplar, Allentown, Lehigh County, Pennsylvania, 18105, United States

    ALLENTOWN, PA 181035622

    Phone: (484) 884-0469

    Fax: (484) 884-0628

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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 18210)

Loading plans...

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: 3072425123View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1235160649.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Albrightsville, Pennsylvania. Check all listed addresses for suites or satellite offices.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

MS. MARYELLEN ALEXANDER (N.P.)

Family Nurse Practitioner
111 BRITTANY DR
NPI: 1952520876

CHRISTINE S GALLAGHER (CRNP)

Family Nurse Practitioner
1154A W Main St
NPI: 1396179834
65 W 36th St Fl 11
NPI: 1295258473