Unknown Individual – Nurse Practitioner, NPI 1093786550

Unknown Individual is a healthcare provider. based in Greeley, Colorado. specializing in Nurse Practitioner. They hold a License No. 78959 (CO). The NPI Number for Unknown Individual is 1093786550

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1093786550
Phone
(970) 350-2440
Address
1900 16TH ST
Deactivation Date
15 January 2021
Data current as of
19 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

  • 16th Street, Greeley, Weld County, Colorado, 800631, United States

    GREELEY, CO 806315114

    Phone: (970) 350-2440

    Fax: (970) 392-4708

    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 80631)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1093786550?
NPI 1093786550 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Greeley, Colorado.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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