Unknown Individual – Family Nurse Practitioner, NPI 1992732481

Unknown Individual is a healthcare provider. based in Wildwood, Missouri. specializing in Family Nurse Practitioner. They hold a License No. 150879 (MO). The NPI Number for Unknown Individual is 1992732481

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1992732481
Phone
(314) 308-8453
Address
16700 WESTGLEN FARMS DR
Deactivation Date
10 January 2024
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

  • 16700, Westglen Farms Drive, Wildwood, Saint Louis County, Missouri, 63011, United States

    WILDWOOD, MO 630111876

    Phone: (314) 308-8453

    Fax: (636) 273-5442

    Type: Mailing

  • 7909, Merz Farm Lane, Dardenne Prairie, Saint Charles County, Missouri, 63368, United States

    INSIDE SHOP N SAVE

    DARDENNE, MO 63366

    Phone: (636) 625-1560

    Fax: (636) 625-1395

    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.

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 63011)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1992732481?
NPI 1992732481 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Wildwood, Missouri as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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