Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1003828484

Unknown Individual is a healthcare provider. based in Indianapolis, Indiana. specializing in Certified Registered Nurse Anesthetist. They hold a License No. ARNP 9283651 (FL). The NPI Number for Unknown Individual is 1003828484

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1003828484
Phone
(317) 727-0801
Address
8720 HUNTING TRAIL
Deactivation Date
17 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1985 (41 years ago)
PAC ID
5991862021
Group Practice PAC ID
4880505528
Professional Enrollment ID
I20111103000878
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 8720, Hunting Trail, Glenns Valley, Indianapolis, Marion County, Indiana, 46217, United States

    INDIANAPOLIS, IN 46217

    Phone: (317) 727-0801

    Fax: (813) 844-4972

    Type: Mailing

  • Hendricks Regional Health, 1000, East Main Street, Danville, Hendricks County, Indiana, 46122, United States

    DANVILLE, IN 461221948

    Phone: (317) 567-2180

    Fax: (317) 567-2180

    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.

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 46217)

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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: 4880505528View full group profile

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1003828484.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Indianapolis, Indiana for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1003828484. Always confirm identity and privileges with the practice and licensing boards.