Unknown Individual – Family Medicine Physician, NPI 1023030764

Unknown Individual is a healthcare provider. based in Monroe, Wisconsin. specializing in Family Medicine Physician. They hold a License No. 14257R (LA). The NPI Number for Unknown Individual is 1023030764

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1023030764
Phone
Not provided
Address
515 22ND AVE
Deactivation Date
12 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

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Provider Addresses for Unknown Individual

  • Monroe Clinic Hospital, 515, 22nd Avenue, Monroe, Green County, Wisconsin, 53566, United States

    MONROE, WI 535661569

    Phone:

    Type: Mailing

  • West Esplanade Avenue, Metairie, Kenner, Jefferson Parish, Louisiana, 70065, United States

    SUITE #412

    KENNER, LA 700652489

    Phone: (504) 471-2750

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2023-08-30 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($45).

Total Amount

$45

General + Research + Ownership

Payments

2

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$45
View all Open Payments →|Open Payments Risk Radar →

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 53566)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1023030764.
Does inactive mean outdated data 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 Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Monroe, Wisconsin?
If you are local to Monroe, Wisconsin, Unknown Individual may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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