Unknown Individual – Family Nurse Practitioner, NPI 1154421543

Unknown Individual is a healthcare provider. based in Worcester, Massachusetts. specializing in Family Nurse Practitioner. They hold a License No. 113955 (MA). The NPI Number for Unknown Individual is 1154421543

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1154421543
Phone
(508) 929-8875
Address
486 CHANDLER STREET
Deactivation Date
9 November 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

  • Worcester State University Library, 486, Chandler Street, Mill Street, Tatnuck Square, Worcester, Worcester County, Massachusetts, 01602, United States

    WORCESTER, MA 01602

    Phone: (508) 929-8875

    Type: Location

  • 5, Hattie Lane, Nutting Lake, Billerica, Middlesex County, Massachusetts, 01865, United States

    BILLERICA, MA 01821

    Phone: (978) 663-0166

    Type: Mailing

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 01602)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1154421543 in the public NPI dataset.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Worcester, Massachusetts; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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