Unknown Individual – Family Nurse Practitioner, NPI 1972590891

Unknown Individual is a healthcare provider. based in Texarkana, Texas. specializing in Family Nurse Practitioner. They hold a License No. 613479 (TX). The NPI Number for Unknown Individual is 1972590891

Main info

Organization
Inactive
28 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1972590891
Phone
(903) 277-4448
Address
5483 SUMMERHILL RD
Deactivation Date
25 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9032235931
Graduation Year
1998 (28 years ago)
PAC ID
1759369150
Professional Enrollment ID
I20040712001117
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 5483, Summerhill Road, Texarkana, Bowie County, Texas, 75503, United States

    TEXARKANA, TX 755034608

    Phone: (903) 277-4448

    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)

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.

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 75503)

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Provider's Procedures

Unknown Individual performs procedures in Family Nurse Practitioner. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERTX81002Urinalysis, manual test235102
NURSE PRACTITIONERTX94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration2521

Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1972590891.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
How should patients interpret Unknown Individual's specialty?
The extract shows Family Nurse Practitioner for Unknown Individual. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Texarkana, Texas in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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