Unknown Individual – Family Nurse Practitioner, NPI 1316930910

Unknown Individual is a healthcare provider. based in Altus, Oklahoma. specializing in Family Nurse Practitioner. They hold a License No. 59000 (OK). The NPI Number for Unknown Individual is 1316930910

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1316930910
Phone
(580) 379-5690
Address
1200 E PECAN ST
Deactivation Date
31 January 2024
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

  • Jackson County Memorial Hospital, 1200, East Pecan Street, Altus, Jackson County, Oklahoma, 73521, United States

    ALTUS, OK 735216141

    Phone: (580) 379-5690

    Fax: (580) 379-5699

    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 73521)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1316930910 if you need a stable reference for Unknown Individual.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Oklahoma?
You will see Altus, Oklahoma on file for Unknown Individual alongside any extra practice locations.
What if Altus, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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