Unknown Individual – Gerontology Nurse Practitioner, NPI 1659522712

Unknown Individual is a healthcare provider. based in Fairbanks, Alaska. specializing in Gerontology Nurse Practitioner. They hold a License No. 1051 (AK). The NPI Number for Unknown Individual is 1659522712

Main info

Organization
Inactive
18 Years Of Experience
Name
Unknown Individual
NPI
1659522712
Phone
(907) 488-6187
Address
5820 CHENA HOT SPRINGS RD
Deactivation Date
24 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2008 (18 years ago)
PAC ID
8628137171
Professional Enrollment ID
I20081112000682
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

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Provider Addresses for Unknown Individual

  • 5820, Chena Hot Springs Road, Pleasant Valley, Fairbanks North Star, Alaska, 99712, United States

    FAIRBANKS, AK 997123511

    Phone: (907) 488-6187

    Type: Mailing

  • 1867, Airport Way, Fairbanks, Fairbanks North Star, Alaska, 99701, United States

    SUITE 110B

    FAIRBANKS, AK 997014007

    Phone: (907) 452-6330

    Fax: (907) 452-6335

    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.

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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.

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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 99712)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1659522712.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Fairbanks, Alaska in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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