Unknown Individual – Family Nurse Practitioner, NPI 1639106883

Unknown Individual is a healthcare provider. based in Delaware, Ohio. specializing in Family Nurse Practitioner. They hold a License No. RN.126887-COA1 (OH). The NPI Number for Unknown Individual is 1639106883

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1639106883
Phone
(740) 363-1904
Address
550 W CENTRAL AVE
Deactivation Date
15 June 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

  • 550, West Central Avenue, Sandusky Street Historic District, Lexington Glen, Delaware, Ohio, 43015, United States

    DELAWARE, OH 430151421

    Phone: (740) 363-1904

    Fax: (740) 363-5288

    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 43015)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1639106883 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Delaware, Ohio for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1639106883. Always confirm identity and privileges with the practice and licensing boards.

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