Unknown Individual – Family Nurse Practitioner, NPI 1003027814

Unknown Individual is a healthcare provider. based in Charlottesville, Virginia. specializing in Family Nurse Practitioner. They hold a License No. 0024165470 (VA). The NPI Number for Unknown Individual is 1003027814

Main info

Organization
Inactive
33 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1003027814
Phone
Not provided
Address
PO BOX 9007
Deactivation Date
6 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4349245125
Graduation Year
1993 (33 years ago)
PAC ID
2769668540
Group Practice PAC ID
4880590728
Professional Enrollment ID
I20110511000642
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO BOX 9007

    CHARLOTTESVILLE, VA 229069007

    Phone:

    Type: Mailing

  • Lee Street, Jefferson Park Avenue, Starr Hill, Charlottesville, Virginia, 22903, United States

    CHARLOTTESVILLE, VA 229080001

    Phone: (434) 982-1700

    Fax: (434) 982-4007

    Type: Location

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 22906)

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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: 4880590728View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1003027814 — is the standard way to identify this listing.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Family Nurse Practitioner is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Charlottesville, Virginia may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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