Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1689665390

Certified Registered Nurse Anesthetist

Unknown Individual is a healthcare provider. based in Naples, Florida. specializing in Certified Registered Nurse Anesthetist. They hold a License No. ARNP 1414222 (FL). The NPI Number for Unknown Individual is 1689665390

Main info

Organization

Inactive

46 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1689665390

Phone

(239) 261-1158

Address

1336 CREEKSIDE BLVD STE 1

Deactivation Date

16 October 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2398245000

Graduation Year

1980 (46 years ago)

PAC ID

9537256912

Group Practice PAC ID

5092628156

Professional Enrollment ID

I20071101000211

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

Creekside Blvd, Naples Park, Collier County, Florida, 34110, United States
NAPLES, FL 341081931
Phone: (239) 261-1158
Fax: (239) 261-4232
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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34108)

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Provider's Procedures

Unknown Individual performs procedures in Certified Registered Nurse Anesthetist. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHET	FL	00142	Anesthesia for lens surgery	62	46

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: 5092628156View full group profile

Name	Specialty	State
JOHANNA YADIRA COOK	Certified Registered Nurse Anesthetist (Crna)	FL
WILLIAM JOSEPH QUARTUCCIO (MD)	-	FL
RAYMOND N GEDOUN (CRNA)	-	FL
PATRICK K CESTONE (CRNA)	-	FL
JOHN F MURPHY (CRNA)	-	NY
JAMES E. BODOH (CRNA)	-	WI
PHILLIP Q BROWN (ARNP)	Nurse Practitioner	FL
Unknown Individual	-	SC
KATHERINE MARTIN (CRNA)	-	FL
AIDA MARIE CHRISTINE HARRIS (AA)	Anesthesiology Assistant	TX

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?

Unknown Individual — NPI 1689665390 — is the standard way to identify this listing.

Is Unknown Individual excluded from programs when inactive?

The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.

What taxonomy line describes Unknown Individual?

For research purposes, treat Unknown Individual as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.

Where is Unknown Individual based?

Unknown Individual is tied to Naples, Florida in the data we show; additional addresses may exist on the full record.

Is the information about Unknown Individual up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."