Unknown Individual – Pediatric Nurse Practitioner, NPI 1003818832

Unknown Individual is a healthcare provider. based in Fort myers, Florida. specializing in Pediatric Nurse Practitioner. They hold a License No. 3140902 (FL). The NPI Number for Unknown Individual is 1003818832

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1003818832
Phone
(239) 939-2808
Address
3900 BROADWAY
Deactivation Date
15 November 2024
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

  • 3900, Broadway, Fort Myers, Lee County, Florida, 33901, United States

    SUITE B-1

    FORT MYERS, FL 339018193

    Phone: (239) 939-2808

    Fax: (239) 939-4794

    Type: Location

  • 2221, Northeast 4th Place, Cape Coral, Lee County, Florida, 33909, United States

    CAPE CORAL, FL 339094303

    Phone: (239) 772-4274

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $52.

Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.

Last reported payment date: 2024-01-29 • Largest payer in this snapshot: Janssen Biotech, Inc. ($52).

Total Amount

$52

General + Research + Ownership

Payments

2

Total payment records

General Amount

$52

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Janssen Biotech, Inc.$52
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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33901)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1003818832 for Unknown Individual, then check state licensing separately.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Pediatric Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Fort Myers, Florida in the data we show; additional addresses may exist on the full record.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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