Unknown Individual – Family Nurse Practitioner, NPI 1952391625

Unknown Individual is a healthcare provider. based in Hawley, Pennsylvania. specializing in Family Nurse Practitioner. They hold a License No. RN304476L (PA). The NPI Number for Unknown Individual is 1952391625

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1952391625
Phone
(570) 226-2200
Address
2489 ROUTE 6
Deactivation Date
12 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
4688616949
Professional Enrollment ID
I20140821001186
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 6, Hawley Drive, Tucker Heights, Town of Charlton, Saratoga County, New York, 12019, United States

    SUITE 7

    HAWLEY, PA 184286078

    Phone: (570) 226-2200

    Fax: (570) 226-2208

    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)

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 18428)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1952391625 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is Unknown Individual registered?
Use Hawley, Pennsylvania as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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