Unknown Individual – Family Nurse Practitioner, NPI 1124157656

Unknown Individual is a healthcare provider. based in Pittston, Pennsylvania. specializing in Family Nurse Practitioner. They hold a License No. F331267-1 (PA). The NPI Number for Unknown Individual is 1124157656

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124157656
Phone
(570) 654-6687
Address
94 LA GRANGE ST
Deactivation Date
27 November 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

Provider Addresses for Unknown Individual

  • 94 LA GRANGE ST

    PITTSTON, PA 186401619

    Phone: (570) 654-6687

    Fax: (570) 718-1488

    Type: Mailing

  • 24 MAIN ST

    LUZERNE, PA 187091212

    Phone: (570) 714-1444

    Fax: (570) 718-1488

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 18640)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1124157656.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Pittston, Pennsylvania in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

LISA KAREN MUCHLER (APRN)

Family Nurse Practitioner
100 N ACADEMY AVE
NPI: 1164676607
Main Street, Ewen, Port Griffith, Jenkins Township, Luzerne County, Pennsylvania, 18640, United States
NPI: 1366687287

DR. BRENDA ANN PAVILL (FNP, PH.D.)

Family Nurse Practitioner
1030 GATES RD
NPI: 1285877399

LEANN ZUBY (CRNP)

Family Nurse Practitioner
1605 N CEDAR CREST BLVD STE 411
NPI: 1386874188

DIANE ELIZABETH BARUSH (CRNP)

Family Nurse Practitioner
216, Lincoln Avenue, Dickville, West Wyoming, Luzerne County, Pennsylvania, 18644, United States
NPI: 1346579539
100 N ACADEMY AVE
NPI: 1114356656

MRS. LAURA LUNGER (CRNP)

Nurse Practitioner
71 HOSPITAL DR
NPI: 1881001014

MISS LEE ANN JOSETTE KLOCKO (CRNP)

Family Nurse Practitioner
42 N Main St
NPI: 1558712018