Unknown Individual – Adult Health Nurse Practitioner, NPI 1659354090

Unknown Individual is a healthcare provider. based in Wellesley, Massachusetts. specializing in Adult Health Nurse Practitioner. They hold a License No. 79502 (MA). The NPI Number for Unknown Individual is 1659354090

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1659354090
Phone
(781) 235-0486
Address
24 BAY VIEW RD
Deactivation Date
1 March 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

  • 24, Bay View Road, Wellesley, Norfolk County, Massachusetts, 01500, United States

    WELLESLEY, MA 024824314

    Phone: (781) 235-0486

    Fax: (617) 731-7559

    Type: Mailing

  • 400, Heath Street, South Brookline, Chestnut Hill, Brookline, Norfolk County, Massachusetts, 02467, United States

    PINE MANOR COLLEGE HEALTH AND WELLNESS CENTER

    CHESTNUT HILL, MA 024672332

    Phone: (617) 731-7171

    Fax: (617) 731-7559

    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.

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.

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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 02482)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1659354090 in the public NPI dataset.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Adult Health Nurse Practitioner is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Wellesley, Massachusetts as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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