Unknown Individual – Adult Health Nurse Practitioner, NPI 1194054676

Unknown Individual is a healthcare provider. based in Willoughby, Ohio. specializing in Adult Health Nurse Practitioner. They hold a License No. NP-10795 (OH). The NPI Number for Unknown Individual is 1194054676

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1194054676
Phone
(440) 953-1899
Address
34940 RIDGE RD
Deactivation Date
1 March 2023
Data current as of
20 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

  • 34940, Ridge Road, Willoughby, Lake County, Ohio, 44094, United States

    SUITE B

    WILLOUGHBY, OH 440944196

    Phone: (440) 953-1899

    Type: Location

  • 5228, Austen Lane, Royalwood Estates, Richmond Heights, Cuyahoga County, Ohio, 44143, United States

    RICHMOND HTS, OH 441432769

    Phone: (440) 646-9671

    Type: Mailing

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 44094)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1194054676.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Willoughby, Ohio in the data we show; additional addresses may exist on the full record.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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