Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1699070482

Unknown Individual is a healthcare provider. based in Pocatello, Idaho. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. NP-1034A (ID). The NPI Number for Unknown Individual is 1699070482

Main info

Organization
Inactive
16 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1699070482
Phone
(208) 233-2025
Address
161 JEFFERSON AVE
Deactivation Date
31 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2082332025
Graduation Year
2010 (16 years ago)
PAC ID
7113187576
Group Practice PAC ID
5698993822
Professional Enrollment ID
I20120322000542

Contacts

Secure Messaging
batts.krista@outlook.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 161 JEFFERSON AVE

    POCATELLO, ID 832013921

    Phone: (208) 233-2025

    Fax: (208) 233-2178

    Type: Mailing

  • 161 Jefferson Ave

    Pocatello, ID 832013921

    Phone: (208) 233-2025

    Fax: (208) 233-2178

    Type: Location

  • 820 Sprague Ave

    Buhl, ID 833161827

    Phone: (208) 233-2025

    Fax: (208) 269-1226

    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.

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 83201)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1699070482 uniquely identifies Unknown Individual in U.S. healthcare data.
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.
How should patients interpret Unknown Individual's specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for Unknown Individual. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Pocatello, Idaho in registry-derived data.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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