Unknown Individual – Adult Health Nurse Practitioner, NPI 1689907768

Unknown Individual is a healthcare provider. based in El paso, Texas. specializing in Adult Health Nurse Practitioner. They hold a License No. 635366 (TX). The NPI Number for Unknown Individual is 1689907768

Main info

Organization
Inactive
14 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1689907768
Phone
(915) 751-2448
Address
9311 DIANA DR
Deactivation Date
10 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9157511249
Graduation Year
2012 (14 years ago)
PAC ID
9931205713
Group Practice PAC ID
4880683689
Professional Enrollment ID
I20100128000820
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

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Provider Addresses for Unknown Individual

  • 9311, Diana Drive, Mountain View, El Paso, El Paso County, Texas, 79924, United States

    EL PASO, TX 799246412

    Phone: (915) 751-2448

    Fax: (915) 751-2331

    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 $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-01-18 • Largest payer in this snapshot: Novo Nordisk Inc ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$13
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
99213Established patient office or other outpatient visit, 20-29 minutes9457$0
96372Injection of drug or substance under skin or into muscle1912$0
99497Advance care planning, first 30 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 79924)

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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: 4880683689View full group profile
NameSpecialtyState
Nurse PractitionerTX
General Practice, Family PracticeTX
Internal Medicine, Emergency MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1689907768.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Adult Health Nurse Practitioner for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display El Paso, Texas because that is what the record indicates for Unknown Individual.
What if El Paso, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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