Unknown Individual – General Practice Registered Nurse, NPI 1093745416

Unknown Individual is a healthcare provider. based in Elyria, Ohio. specializing in General Practice Registered Nurse. They hold a License No. RN-132585 (OH). The NPI Number for Unknown Individual is 1093745416

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1093745416
Phone
(440) 323-3574
Address
1170 E BROAD ST
Deactivation Date
22 July 2022
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

  • 1170, East Broad Street, Elyria, Lorain County, Ohio, 44035, United States

    ELYRIA, OH 440356351

    Phone: (440) 323-3574

    Fax: (440) 323-3552

    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 44035)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1093745416.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights General Practice Registered Nurse. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Elyria, Ohio?
For routing, start with Elyria, Ohio for Unknown Individual, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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