Unknown Individual – Family Medicine Physician, NPI 1063466613

Unknown Individual is a healthcare provider. based in West plains, Missouri. specializing in Family Medicine Physician. They hold a License No. R9E59 (MO). The NPI Number for Unknown Individual is 1063466613

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063466613
Phone
(417) 257-8853
Address
2400 MCFARLAND DRIVE APT 101
Deactivation Date
11 November 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 2400 MCFARLAND DRIVE APT 101

    WEST PLAINS, MO 65775

    Phone: (417) 257-8853

    Fax: (417) 255-9741

    Type: Mailing

  • Independence Drive, West Plains, Howell County, Missouri, 65775, United States

    WEST PLAINS, MO 65775

    Phone: (417) 255-8464

    Fax: (417) 255-9741

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-02-21 • Largest payer in this snapshot: Novo Nordisk Inc ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$14
View all Open Payments →|Open Payments Risk Radar →

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 65775)

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Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1063466613 is assigned to Unknown Individual under the national enumeration system.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display West Plains, Missouri because that is what the record indicates for Unknown Individual.
What if West Plains, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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