Unknown Individual – Nurse Practitioner, NPI 1801902689

Unknown Individual is a healthcare provider. based in Cleveland, Ohio. specializing in Nurse Practitioner. They hold a License No. NP-02236 (OH). The NPI Number for Unknown Individual is 1801902689

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1801902689
Phone
Not provided
Address
1001 LAKESIDE AVE E
Deactivation Date
23 October 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience18
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1001, Lakeside Avenue East, East 4th Street, Warehouse District, Cleveland, Cuyahoga County, Ohio, 44114, United States

    #1200

    CLEVELAND, OH 441141158

    Phone:

    Type: Mailing

  • MetroHealth Cleveland Heights Medical Center, 10, Severance Circle, Cleveland Heights, Cuyahoga County, Ohio, 44118, United States

    CLEVELAND HEIGHTS, OH 441181533

    Phone: (216) 524-7377

    Fax: (216) 297-2532

    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 44114)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1801902689 as the unique 10-digit identifier.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Cleveland, Ohio.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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