Unknown Individual – Adult Health Nurse Practitioner, NPI 1407130131

Unknown Individual is a healthcare provider. based in Edgartown, Massachusetts. specializing in Adult Health Nurse Practitioner. They hold a License No. 124111NP (MA). The NPI Number for Unknown Individual is 1407130131

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1407130131
Phone
(508) 939-9122
Address
PO BOX 976
Deactivation Date
30 October 2025
Data current as of
20 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

  • PO BOX 976

    49 PINEHURST RD

    EDGARTOWN, MA 025390976

    Phone: (508) 939-9122

    Type: Mailing

  • 9 CRESTSHIRE LN

    METHUEN, MA 018441001

    Phone: (978) 969-9739

    Fax: (978) 258-2682

    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 02539)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1407130131 for Unknown Individual.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Edgartown, Massachusetts?
If you are local to Edgartown, Massachusetts, Unknown Individual may be relevant to your search.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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