Unknown Individual – Adult Health Nurse Practitioner, NPI 1265572457

Unknown Individual is a healthcare provider. based in Chelsea, Massachusetts. specializing in Adult Health Nurse Practitioner. They hold a License No. 147512 (MA). The NPI Number for Unknown Individual is 1265572457

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1265572457
Phone
(617) 884-3169
Address
21 ADMIRALS WAY
Deactivation Date
30 June 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

Provider Addresses for Unknown Individual

  • 21 ADMIRALS WAY

    CHELSEA, MA 021504002

    Phone: (617) 884-3169

    Type: Mailing

  • 200 TRAPELO RD

    WALTHAM, MA 024526332

    Phone: (781) 894-3600

    Fax: (781) 398-0310

    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.

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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.

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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 02150)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1265572457 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Adult Health Nurse Practitioner for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Massachusetts?
You will see Chelsea, Massachusetts on file for Unknown Individual alongside any extra practice locations.
What if Chelsea, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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