Unknown Individual – Registered Nurse, NPI 1164598967

Unknown Individual is a healthcare provider. based in Worcester, Massachusetts. specializing in Registered Nurse. They hold a License No. 107497 (MA). The NPI Number for Unknown Individual is 1164598967

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1164598967
Phone
(508) 755-1228
Address
237 MILLBURY ST
Deactivation Date
13 September 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 237;241, Millbury Street, Southbridge-Sargent Manufacturing Historic District, Vernon Hill, Worcester, Worcester County, Massachusetts, 01655, United States

    PERNET FAMILY HEALTH

    WORCESTER, MA 01610

    Phone: (508) 755-1228

    Fax: (508) 797-3477

    Type: Location

  • 91;93;95;97;99, Waterford Drive, Botany Bay, Columbus Park, Worcester, Worcester County, Massachusetts, 01602, United States

    WORCESTER, MA 01602

    Phone: (508) 792-0756

    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 01610)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1164598967.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Registered Nurse for Unknown Individual. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Worcester, Massachusetts?
If you are local to Worcester, Massachusetts, Unknown Individual may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.