Unknown Individual – Family Nurse Practitioner, NPI 1124301197

Unknown Individual is a healthcare provider. based in Amarillo, Texas. specializing in Family Nurse Practitioner. They hold a License No. 730852 (TX). The NPI Number for Unknown Individual is 1124301197

Main info

Organization
Inactive
14 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1124301197
Phone
(806) 358-0200
Address
6700 W 9TH AVE
Deactivation Date
10 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8063580200
Graduation Year
2012 (14 years ago)
PAC ID
5991950909
Group Practice PAC ID
5294959433
Professional Enrollment ID
I20130223000019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 6700 W 9TH AVE

    AMARILLO, TX 791061701

    Phone: (806) 358-0200

    Fax: (806) 356-5511

    Type: Mailing

  • PO BOX 840020

    DALLAS, TX 752840020

    Phone: (806) 358-0200

    Fax: (806) 356-5590

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 356 Open Payments records for all available years, with a total value of $23,133.

Total Amount is formed as General ($23,133) + Research ($0) + Ownership ($0) = $23,133.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: EMD Serono, Inc. ($13,092).

Total Amount

$23,133

General + Research + Ownership

Payments

356

Total payment records

General Amount

$23,133

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0585Injection, onabotulinumtoxina, 1 unit7,20013$0
99214Established patient office or other outpatient visit, 30-39 minutes161127$0
36415Insertion of needle into vein for collection of blood sample154115$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count12287$0
80053Blood test, comprehensive group of blood chemicals12086$0
View full utilization report →

Insurance plans in this area (ZIP 79106)

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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: 5294959433View full group profile
NameSpecialtyState
Nurse PractitionerTX
Gastroenterology, Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
G A S T R O E N T E R O L O G YTX
Nurse PractitionerTX
-TX
Gastroenterology, Internal MedicineTX
Physician AssistantTX
Critical Care (Intensivists), Internal Medicine, Sleep Medicine, Pulmonary DiseaseTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1124301197 — is the standard way to identify this listing.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Family Nurse Practitioner is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Amarillo, Texas; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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