Unknown Individual – Nurse Practitioner, NPI 1245281872

Unknown Individual is a healthcare provider. based in Pawtucket, Rhode Island. specializing in Nurse Practitioner. They hold a License No. 213296 (MA). The NPI Number for Unknown Individual is 1245281872

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1245281872
Phone
(401) 728-6990
Address
333 SCHOOL ST
Deactivation Date
1 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4012538900
Graduation Year
1996 (30 years ago)
PAC ID
3476613241
Group Practice PAC ID
3375432040
Professional Enrollment ID
I20081124000506
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 333, School Street, Pawtucket, Providence County, Rhode Island, 02860, United States

    SUITE #216

    PAWTUCKET, RI 028605334

    Phone: (401) 728-6990

    Fax: (401) 729-0930

    Type: Location

  • Cumberland Post Office, Pershing Street, Downtown, Cumberland, Allegany County, Maryland, 21502, United States

    CUMBERLAND, RI 028640807

    Phone: (401) 787-2572

    Fax: (401) 729-0930

    Type: Mailing

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 02860)

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Provider's Procedures

Unknown Individual performs procedures in Nurse Practitioner. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERRI11101Biopsy of each additional growth of skin and/or tissue1212
NURSE PRACTITIONERRI17003Destruction of 2-14 skin growths4380380

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: 3375432040View full group profile
NameSpecialtyState
DR. ANTHONY G BRUZZESE (MD)
Diagnostic Radiology, Internal MedicineRI
DR. MICHAEL AARON REUTER (DPM)
P O D I A T R YRI
HOWARD FRANCIS PERRONE (M.D.)
Internal MedicineRI
PAULA E FERREIRA (N.P.)
Nurse PractitionerMA
DR. SHOSHANA LANDOW (M.D.)
D E R M A T O L O G YRI
DR. AAMIR AHMAD (MD)
Diagnostic RadiologyRI
ROSEMARY DEVER (APRN)
-RI
DR. M JULIE ARMADA (MD)
Diagnostic RadiologyRI
MRS. TARA LIN PANCIOTTI (FNP-C, FNP-BC)
Nurse PractitionerMA
LESLIE CHAMBERLAIN MOHLMAN (MD)
Internal Medicine, Pediatric MedicineRI

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1245281872 uniquely identifies Unknown Individual in U.S. healthcare data.
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 Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Pawtucket, Rhode Island?
If you are local to Pawtucket, Rhode Island, Unknown Individual may be relevant to your search.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.