Unknown Individual – Family Nurse Practitioner, NPI 1861475907

Unknown Individual is a healthcare provider. based in Marysville, Ohio. specializing in Family Nurse Practitioner. They hold a License No. 09391 (OH). The NPI Number for Unknown Individual is 1861475907

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1861475907
Phone
(937) 642-4808
Address
19123 BEAR SWAMP RD
Deactivation Date
17 July 2025
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

  • 19123 BEAR SWAMP RD

    MARYSVILLE, OH 430409332

    Phone: (937) 642-4808

    Type: Mailing

  • Roberts Road, Hilliard, Brown Township, Ohio, 43026, United States

    HILLIARD, OH 430268129

    Phone: (614) 850-2407

    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 43040)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1861475907 on file in the registry.
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 expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Marysville, Ohio.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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