Unknown Individual – Family Nurse Practitioner, NPI 1245600378

Unknown Individual is a healthcare provider. based in Belvidere, Tennessee. specializing in Family Nurse Practitioner. They hold a License No. 20524 (TN). The NPI Number for Unknown Individual is 1245600378

Main info

Organization
Inactive
11 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1245600378
Phone
(931) 962-8810
Address
75 SYLER RD
Deactivation Date
30 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9316495139
Graduation Year
2015 (11 years ago)
PAC ID
8022327303
Group Practice PAC ID
5991765943
Professional Enrollment ID
I20151028000556
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 75 SYLER RD

    BELVIDERE, TN 373062241

    Phone: (931) 962-8810

    Type: Mailing

  • 1894 COWAN HWY

    WINCHESTER, TN 373982643

    Phone: (931) 962-4040

    Fax: (931) 962-2277

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $149.

Total Amount is formed as General ($149) + Research ($0) + Ownership ($0) = $149.

Last reported payment date: 2023-06-27 • Largest payer in this snapshot: ABBVIE INC. ($65).

Total Amount

$149

General + Research + Ownership

Payments

7

Total payment records

General Amount

$149

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-27

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes144131$0
99213Established patient office or other outpatient visit, 20-29 minutes5847$0
96372Injection of drug or substance under skin or into muscle2921$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2121$0
99497Advance care planning, first 30 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 37306)

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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: 5991765943View full group profile
NameSpecialtyState
-TN
O B S T E T R I C S/ G Y N E C O L O G YTN
General SurgeryTN
-TN
-TN
Nurse PractitionerTN
-TN
Nurse PractitionerTN
O B S T E T R I C S/ G Y N E C O L O G YMI
General SurgeryTN

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1245600378 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Belvidere?
Public fields place Unknown Individual around Belvidere, Tennessee. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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