Unknown Individual – Nurse Practitioner, NPI 1639472483

Unknown Individual is a healthcare provider. based in Rochester, Massachusetts. specializing in Nurse Practitioner. They hold a License No. 64836 (MA). The NPI Number for Unknown Individual is 1639472483

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1639472483
Phone
(508) 763-5421
Address
37 MARION RD
Deactivation Date
29 March 2023
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

  • 37 MARION RD

    RTE. 105

    ROCHESTER, MA 027704113

    Phone: (508) 763-5421

    Fax: (508) 763-5379

    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 02770)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1639472483 — the number used across U.S. healthcare to identify this provider.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Rochester?
Public fields place Unknown Individual around Rochester, Massachusetts. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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