Unknown Individual – Adult Health Nurse Practitioner, NPI 1013397793

Unknown Individual is a healthcare provider. based in Richardson, Texas. specializing in Adult Health Nurse Practitioner. They hold a License No. AP127549 (TX). The NPI Number for Unknown Individual is 1013397793

Main info

Organization
Inactive
12 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1013397793
Phone
(469) 206-6957
Address
2821 E PRESIDENT GEORGE BUSH HWY STE 500
Deactivation Date
14 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9725331037
Graduation Year
2014 (12 years ago)
PAC ID
0749590727
Group Practice PAC ID
1850432311
Professional Enrollment ID
I20151103001494
Data current as of
20 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

  • 2821 E PRESIDENT GEORGE BUSH HWY STE 500

    RICHARDSON, TX 750824278

    Phone: (469) 206-6957

    Fax: (469) 206-6953

    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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes870106$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes9791$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2014$0
View full utilization report →

Insurance plans in this area (ZIP 75082)

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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: 1850432311View full group profile
NameSpecialtyState
Nurse PractitionerTX
-TX
Infectious Disease, Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
General SurgeryTX
Infectious Disease, Internal MedicineTX

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1013397793 in the public NPI dataset.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Richardson, Texas; more addresses can appear in NPPES.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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