Unknown Individual – Nurse Practitioner, NPI 1669478954

Unknown Individual is a healthcare provider. based in Johnstown, Pennsylvania. specializing in Nurse Practitioner. They hold a License No. TP006901M (PA). The NPI Number for Unknown Individual is 1669478954

Main info

Organization
Inactive
25 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1669478954
Phone
(814) 534-9194
Address
1086 FRANKLIN ST
Deactivation Date
22 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
8145349104
Graduation Year
2001 (25 years ago)
PAC ID
7517028616
Group Practice PAC ID
7315166949
Professional Enrollment ID
I20081208000612
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

Loading map...

Provider Addresses for Unknown Individual

  • Conemaugh Memorial Medical Center, 1086, Franklin Street, Johnstown, Cambria County, Pennsylvania, 15905, United States

    JOHNSTOWN, PA 159054305

    Phone: (814) 534-9194

    Fax: (814) 534-5847

    Mailing address matches the actual address.

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 15905)

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: 7315166949View 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

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1669478954.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Johnstown, Pennsylvania?
For routing, start with Johnstown, Pennsylvania for Unknown Individual, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

LISA DEVINENI (CRNP)

Nurse Practitioner
Conemaugh Memorial Medical Center, 1086, Franklin Street, Johnstown, Cambria County, Pennsylvania, 15905, United States
NPI: 1003811175

DAWN SPRINGER (CRNP)

Nurse Practitioner
Conemaugh Memorial Medical Center, 1086, Franklin Street, Johnstown, Cambria County, Pennsylvania, 15905, United States
NPI: 1134129604
Conemaugh Memorial Medical Center, 1086, Franklin Street, Johnstown, Cambria County, Pennsylvania, 15905, United States
NPI: 1437146651

PATRICIA A EAGLESON (CRNP)

Nurse Practitioner
Conemaugh Memorial Medical Center, 1086, Franklin Street, Johnstown, Cambria County, Pennsylvania, 15905, United States
NPI: 1063494896

MICHELLE SHAFFER

Nurse Practitioner
John P. Murtha Cancer Center, 337, Somerset Street, Kernville, Conemaugh, Johnstown, Cambria County, Pennsylvania, 15901, United States
NPI: 1326012709

CENTER FOR ORTHOPAEDIC AND SPORTS MEDICINE PC

Sports Medicine (Orthopaedic Surgery) Physician
720 W Mahoning St Ste 200
NPI: 1124088372

AMY M RILEY (CRNP)

Nurse Practitioner
1020, Franklin Street, Johnstown, Cambria County, Pennsylvania, 15905, United States
NPI: 1528009552
124 KEAFER RD
NPI: 1235332545

LISA MARIE DRENNEN (CRNP)

Nurse Practitioner
PO BOX 384
NPI: 1093915381