Unknown Individual – Nurse Practitioner, NPI 1154397339

Unknown Individual is a healthcare provider. based in Carson city, Nevada. specializing in Nurse Practitioner. They hold a License No. APN00519 (NV). The NPI Number for Unknown Individual is 1154397339

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1154397339
Phone
(775) 283-3096
Address
2874 N. CARSON STREET
Deactivation Date
8 December 2021
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

  • Eagle Medical Center, 2874, North Carson Street, Carson City, Virginia City Historic District, Nevada, 89706, United States

    SUITE 200

    CARSON CITY, NV 897061682

    Phone: (775) 283-3096

    Fax: (775) 283-3091

    Type: Mailing

  • Carson City Freeway, Carson City, Nevada, 89701, United States

    CARSON CITY, NV 897056898

    Phone: (775) 445-7220

    Fax: (775) 445-7721

    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 89706)

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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 1154397339 for Unknown Individual.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Carson City, Nevada in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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