Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1083728992

Unknown Individual is a healthcare provider. based in Melbourne, Florida. specializing in Certified Registered Nurse Anesthetist. They hold a License No. ARNP1413342 (FL). The NPI Number for Unknown Individual is 1083728992

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1083728992
Phone
(321) 723-4723
Address
1304 OAK ST
Deactivation Date
17 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3214348000
Graduation Year
1977 (49 years ago)
PAC ID
3173656493
Group Practice PAC ID
1850535048
Professional Enrollment ID
I20100805001111
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

  • 1304, Oak Street, Melbourne, Brevard County, Florida, 32901, United States

    MELBOURNE, FL 329013111

    Phone: (321) 723-4723

    Fax: (321) 727-1448

    Mailing address matches the actual address.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope1717$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1616$0
00812Anesthesia for exam of colon using an endoscope1212$0
00813Anesthesia for procedure on small and large bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 32901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850535048View full group profile
NameSpecialtyState
-FL
Diagnostic RadiologyFL
Emergency MedicineFL
A N E S T H E S I O L O G YFL
Diagnostic RadiologyFL
Emergency MedicineFL
Nurse PractitionerNC
-FL
-FL
Certified Registered Nurse Anesthetist (Crna)NJ

Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1083728992.
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.
How should patients interpret Unknown Individual's specialty?
The extract shows Certified Registered Nurse Anesthetist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Melbourne, Florida in registry-derived data.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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