Unknown Individual – Adult Health Nurse Practitioner, NPI 1154492171

Unknown Individual is a healthcare provider. based in Boston, Massachusetts. specializing in Adult Health Nurse Practitioner. They hold a License No. 262919 (MA). The NPI Number for Unknown Individual is 1154492171

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1154492171
Phone
(617) 559-8374
Address
147 MILK ST
Deactivation Date
24 April 2025
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

  • Harvard Vanguard, 147, Milk Street, Financial District, Downtown Boston, Boston, Suffolk County, Massachusetts, 02109, United States

    PROVIDER ENROLLMENT - 9TH FLOOR

    BOSTON, MA 021094806

    Phone: (617) 559-8374

    Fax: (617) 421-3487

    Type: Mailing

  • 26, City Hall Mall, Medford, Middlesex County, Massachusetts, 02155, United States

    INTERNAL MEDICINE

    MEDFORD, MA 021554754

    Phone: (781) 306-5100

    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 02109)

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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 1154492171 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 taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Adult Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Boston, Massachusetts in our summary view.
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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