Unknown Individual – Family Nurse Practitioner, NPI 1609114974

Unknown Individual is a healthcare provider. based in Stamford, Texas. specializing in Family Nurse Practitioner. They hold a License No. 687063 (TX). The NPI Number for Unknown Individual is 1609114974

Main info

Organization
Inactive
14 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1609114974
Phone
(325) 669-8641
Address
1601 COLUMBIA ST
Deactivation Date
1 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9405215500
Graduation Year
2012 (14 years ago)
PAC ID
9931342755
Professional Enrollment ID
I20130827000359
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1601 COLUMBIA ST

    STAMFORD, TX 795536863

    Phone: (325) 669-8641

    Type: Mailing

  • 1339 EAST ST

    GRAHAM, TX 764504228

    Phone: (940) 521-5500

    Type: Location

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 $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-01-11 • Largest payer in this snapshot: PFIZER INC. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$14
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
99238Hospital discharge day management, 30 minutes or less108105$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6044$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes5553$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5550$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4740$0
View full utilization report →

Insurance plans in this area (ZIP 79553)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1609114974 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Stamford, Texas in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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