Unknown Individual – Family Nurse Practitioner, NPI 1548398928

Unknown Individual is a healthcare provider. based in Beeville, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 571066 (TX). The NPI Number for Unknown Individual is 1548398928

Main info

Organization
Inactive
21 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1548398928
Phone
(361) 542-8186
Address
1406 E HOUSTON ST STE B
Deactivation Date
16 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3613629711
Graduation Year
2005 (21 years ago)
PAC ID
1355499930
Group Practice PAC ID
3173697935
Professional Enrollment ID
I20090508000515
Address ID
TX781025311BE1402XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience18
Completeness75
Years active:0State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for Unknown Individual

  • 1406 E HOUSTON ST STE B

    BEEVILLE, TX 781025346

    Phone: (361) 542-8186

    Fax: (361) 881-4291

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090508000515INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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
J1100Injection, dexamethasone sodium phosphate, 1 mg22124$0
99214Established patient office or other outpatient visit, 30-39 minutes148116$0
99204New patient office or other outpatient visit, 45-59 minutes5252$0
96372Injection of drug or substance under skin or into muscle4536$0
87804Detection test by immunoassay with direct visual observation for influenza virus4120$0
View full utilization report →

Insurance plans in this area (ZIP 78102)

Loading plans...

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: 3173697935View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1548398928.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Beeville, Texas because that is what the record indicates for Unknown Individual.
What if Beeville, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

DEBORAH SUSAN SKORUPPA (FNP-C)

Family Nurse Practitioner
1621 E Corral Ave
NPI: 1053501379

MERCEDITA FLYNN (FNP)

Family Nurse Practitioner
1602, East Houston Street, Beeville, Bee County, Texas, 78102, United States
NPI: 1619166188

CARYEL ARLENE KRUGER (FNP)

Family Nurse Practitioner
302, South Hillside Drive, Beeville, Bee County, Texas, 78102, United States
NPI: 1790010270

LORI WALKER HUDSON (FNP)

Nurse Practitioner
PO BOX 844658
NPI: 1457681967

MRS. LOLA DINA REYNA (RN MSN FNP)

Family Nurse Practitioner
213 S DuVal St
NPI: 1124330360

MS. ELOISA F. FLORES (FNP)

Family Nurse Practitioner
14329 STATE HIGHWAY 188
NPI: 1538450655

WHITNEY DONANNE STACY (FNP-BC)

Family Nurse Practitioner
1133 E Sinton St
NPI: 1932444809