Unknown Individual – Acute Care Clinical Nurse Specialist, NPI 1124243548

Unknown Individual is a healthcare provider. based in Beverly, Massachusetts. specializing in Acute Care Clinical Nurse Specialist. They hold a License No. 135392 (MA). The NPI Number for Unknown Individual is 1124243548

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124243548
Phone
(978) 922-3000
Address
85 HERRICK ST
Deactivation Date
17 May 2022
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

Provider Addresses for Unknown Individual

  • 85 HERRICK ST

    BEVERLY, MA 019151790

    Phone: (978) 922-3000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $182.

Total Amount is formed as General ($182) + Research ($0) + Ownership ($0) = $182.

Last reported payment date: 2023-10-14 • Largest payer in this snapshot: Novo Nordisk Inc ($182).

Total Amount

$182

General + Research + Ownership

Payments

1

Total payment records

General Amount

$182

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$182
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 01915)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check Unknown Individual using NPI 1124243548?
NPI 1124243548 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Acute Care Clinical Nurse Specialist in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Beverly?
Unknown Individual currently maps to Beverly, Massachusetts in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

MARY E GALDAUSKAS (NP)

Acute Care Clinical Nurse Specialist
280, Chestnut Street, Metro Center, Springfield, Hampden County, Massachusetts, 01103, United States
NPI: 1215095070

JULIE T RAINVILLE (NP)

Acute Care Clinical Nurse Specialist
55 Highland Ave Ste 304
NPI: 1104089572

MS. RHONA BERNADETTE MITCHELL (NP)

Acute Care Clinical Nurse Specialist
110 FRANCIS ST
NPI: 1114257938

MARINA JEAN SYRAX (APRN)

Acute Care Nurse Practitioner
80 SEYMOUR STREET
NPI: 1659627669

MARY PATRICIA MARVEL (NP)

Acute Care Clinical Nurse Specialist
280 CHESTNUT STREET
NPI: 1386071439

MONICA GRIG MOUNT (RN, ACNS)

Acute Care Clinical Nurse Specialist
7 WHITON AVE
NPI: 1215335732

MRS. JACQUELYN HOLMBERG (MS, RN, ACNS-BC)

Acute Care Clinical Nurse Specialist
16 LINCOLN ST
NPI: 1528445723