Unknown Individual – Family Nurse Practitioner, NPI 1073712410

Unknown Individual is a healthcare provider. based in Grand prairie, Texas. specializing in Family Nurse Practitioner. They hold a License No. AP110127 (TX). The NPI Number for Unknown Individual is 1073712410

Main info

Organization
Inactive
26 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1073712410
Phone
(972) 262-5272
Address
1801 S CARRIER PKWY
Deactivation Date
19 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2143333393
Graduation Year
2000 (26 years ago)
PAC ID
4486726288
Group Practice PAC ID
4880657386
Professional Enrollment ID
I20080711000083
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

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Provider Addresses for Unknown Individual

  • South Carrier Parkway, Indian Hills, Grand Prairie, Dallas County, Texas, 75051, United States

    GRAND PRAIRIE, TX 750513702

    Phone: (972) 262-5272

    Fax: (972) 262-1921

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Aspira Women's Health Inc ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-24

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75051)

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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: 4880657386View full group profile

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1073712410; it appears in the national provider directory.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Family Nurse Practitioner for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Grand Prairie, Texas because that is what the record indicates for Unknown Individual.
What if Grand Prairie, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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