Unknown Individual – Family Nurse Practitioner, NPI 1437208063

Unknown Individual is a healthcare provider. based in Whitehouse, Texas. specializing in Family Nurse Practitioner. They hold a License No. 569171 (TX). The NPI Number for Unknown Individual is 1437208063

Main info

Organization
Inactive
20 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1437208063
Phone
(903) 839-1000
Address
403 STATE HIGHWAY 110 N
Deactivation Date
30 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035905611
Graduation Year
2006 (20 years ago)
PAC ID
7517068877
Group Practice PAC ID
4486915600
Professional Enrollment ID
I20070731000291
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

  • State Highway 110 South, Whitehouse, Smith County, Texas, 75791, United States

    WHITEHOUSE, TX 757913109

    Phone: (903) 839-1000

    Fax: (903) 839-4000

    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 4 Open Payments records for all available years, with a total value of $98.

Total Amount is formed as General ($98) + Research ($0) + Ownership ($0) = $98.

Last reported payment date: 2024-01-12 • Largest payer in this snapshot: Boston Scientific Corporation ($98).

Total Amount

$98

General + Research + Ownership

Payments

4

Total payment records

General Amount

$98

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-12

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 75791)

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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: 4486915600View full group profile
NameSpecialtyState
-TX
Pulmonary Disease, Critical Care (Intensivists)TX
Vascular Surgery, Thoracic Surgery, General SurgeryWV
Physician AssistantTX
A N E S T H E S I O L O G YTX
Orthopedic SurgeryTX
-TX
Internal MedicineTX
-TX
-TX

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1437208063.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Whitehouse, Texas?
If you are local to Whitehouse, Texas, Unknown Individual may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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