Unknown Individual – Family Nurse Practitioner, NPI 1821032111

Unknown Individual is a healthcare provider. based in Clinton, Indiana. specializing in Family Nurse Practitioner. They hold a License No. 71000352A (IN). The NPI Number for Unknown Individual is 1821032111

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1821032111
Phone
(765) 832-9301
Address
PO BOX 266
Deactivation Date
10 August 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 266, Dickson Point Road, Plattsburgh, Clinton County, New York, 12901, United States

    CLINTON, IN 478420266

    Phone: (765) 832-9301

    Fax: (765) 832-9302

    Type: Mailing

  • Grant Street, Auburn, City of Auburn, Cayuga County, New York, 13021, United States

    CAYUGA, IN 479288208

    Phone: (765) 492-3316

    Fax: (765) 492-3370

    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 47842)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1821032111 if you need a stable reference for Unknown Individual.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Clinton, Indiana because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1821032111. Always confirm identity and privileges with the practice and licensing boards.

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