Unknown Individual – Acute Care Nurse Practitioner, NPI 1679814404

Unknown Individual is a healthcare provider. based in Muskogee, Oklahoma. specializing in Acute Care Nurse Practitioner. They hold a License No. 64981 (OK). The NPI Number for Unknown Individual is 1679814404

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1679814404
Phone
(918) 869-6445
Address
1016 E HANCOCK ST
Deactivation Date
11 September 2024
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

Provider Addresses for Unknown Individual

  • 1016 E HANCOCK ST

    MUSKOGEE, OK 744037228

    Phone: (918) 869-6445

    Type: Mailing

  • 1011 HONOR HEIGHTS DR

    MUSKOGEE, OK 744011318

    Phone: (918) 577-3000

    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 74403)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1679814404 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Muskogee, Oklahoma as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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