Unknown Individual – Adult Health Nurse Practitioner, NPI 1174505655

Unknown Individual is a healthcare provider. based in El paso, Texas. specializing in Adult Health Nurse Practitioner. They hold a License No. 631106 (TX). The NPI Number for Unknown Individual is 1174505655

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1174505655
Phone
(915) 564-6100
Address
5001 N PIEDRAS ST
Deactivation Date
13 March 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • El paso VA Health Care Clinic, 5001, North Piedras Street, El Paso, El Paso County, Texas, 79930, United States

    VA HEALTH CENTER

    EL PASO, TX 799304210

    Phone: (915) 564-6100

    Type: Location

  • 7111, Alabama Street, El Paso, El Paso County, Texas, 79904, United States

    #9B

    EL PASO, TX 799043928

    Phone: (915) 491-2294

    Type: Mailing

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 79930)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1174505655 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes El Paso, Texas for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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