Unknown Individual – Nurse Practitioner, NPI 1285690057

Unknown Individual is a healthcare provider. based in Newport news, Virginia. specializing in Nurse Practitioner. They hold a License No. 0017001506 (VA). The NPI Number for Unknown Individual is 1285690057

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1285690057
Phone
(757) 886-6464
Address
2 BERNARDINE DR
Deactivation Date
5 June 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

Loading map...

Provider Addresses for Unknown Individual

  • Bon Secours Mary Immaculate Hospital, 2, Bernardine Drive, Windsor Great Park, Newport News, Newport News City, Virginia, 23602, United States

    MARY IMMACULATE SENIOR ASSESSMENT PROGRAM

    NEWPORT NEWS, VA 236024404

    Phone: (757) 886-6464

    Fax: (757) 886-6881

    Mailing address matches the actual address.

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 23602)

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

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1285690057.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Newport News, Virginia?
For routing, start with Newport News, Virginia for Unknown Individual, then verify phone and hours locally.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

Unknown Individual

Nurse Practitioner
11830, Fishing Point Drive, City Center, Newport News, Newport News City, Virginia, 23606, United States
NPI: 1922073964

LOIS W SHIELDS (NP)

Nurse Practitioner
Newport News Post Office, 101, 25th Street, Newport News, Virginia, 23607, United States
NPI: 1306809850
245, Chesapeake Avenue, Hampton City, Virginia, 23607, United States
NPI: 1629034913

TRACI R FISHER (CRNP)

Nurse Practitioner
856, J Clyde Morris Boulevard, City Center, Newport News, Newport News City, Virginia, 23601, United States
NPI: 1376597393

SUSAN KAYE MOORE (NP)

Nurse Practitioner
860, Omni Boulevard, City Center, Newport News, Newport News City, Virginia, 23606, United States
NPI: 1487682290

RIVERSIDE EMERGENCY PHYSICIANS LLP

Emergency Medicine Physician
PO BOX 60259
NPI: 1144255365

BONNIE GRIMES (NP)

Nurse Practitioner
1431 CENTERPOINT BLVD
NPI: 1336161462

APRIL G MORRIS (FNP)

Nurse Practitioner
12720, McManus Boulevard, Windsor Great Park, Newport News, Newport News City, Virginia, 23602, United States
NPI: 1871686964

JASON L TRICKER (ACNP-BC)

Acute Care Nurse Practitioner
856 J CLYDE MORRIS BLVD
NPI: 1154458412