Unknown Individual – Family Nurse Practitioner, NPI 1720397771
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
PO BOX 305
BROADDUS, TX 759290305
Phone: (936) 872-1077
Fax: (936) 872-1003
Type: Mailing
1103 FM 2558
BROADDUS, TX 75929
Phone: (936) 872-1077
Fax: (936) 872-1003
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $115.
Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.
Last reported payment date: 2024-08-15 • Largest payer in this snapshot: Novo Nordisk Inc ($40).
Total Amount
$115
General + Research + Ownership
Payments
6
Total payment records
General Amount
$115
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $40 |
| GlaxoSmithKline, LLC. | $24 |
| Merck Sharp & Dohme LLC | $19 |
| Abbott Laboratories | $17 |
| Xeris Pharmaceuticals, Inc. | $15 |
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 113 | 24 | $0 |
Insurance plans in this area (ZIP 75929)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Nurse Practitioner | LA |
Reviews
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