Unknown Individual – Registered Nurse, NPI 1396143251

Unknown Individual is a healthcare provider. based in Wauchula, Florida. specializing in Registered Nurse. They hold a License No. RN 9296123 (FL). The NPI Number for Unknown Individual is 1396143251

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1396143251
Phone
(863) 773-4161
Address
115 K D REVELL RD
Deactivation Date
3 April 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 115 K D REVELL RD

    WAUCHULA, FL 338732051

    Phone: (863) 773-4161

    Fax: (863) 773-5056

    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 33873)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1396143251 is assigned to Unknown Individual under the national enumeration system.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Registered Nurse for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Wauchula, Florida for Unknown Individual; expand the address list for detail.
What if Wauchula, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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