Unknown Individual – Nurse Practitioner, NPI 1306854518

Unknown Individual is a healthcare provider. based in Stoneham, Massachusetts. specializing in Nurse Practitioner. They hold a License No. 218160 (MA). The NPI Number for Unknown Individual is 1306854518

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1306854518
Phone
(781) 438-7330
Address
577 MAIN STREET
Deactivation Date
12 July 2023
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

  • 577, Main Street, Haywardville, Stoneham, Middlesex County, Massachusetts, 02180, United States

    STONEHAM, MA 02180

    Phone: (781) 438-7330

    Fax: (781) 279-4046

    Mailing address matches the actual address.

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 02180)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1306854518 as the unique 10-digit identifier.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is Unknown Individual registered?
Use Stoneham, Massachusetts as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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