Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1700851144

Unknown Individual is a healthcare provider. based in Evansville, Indiana. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 1036784 (KY). The NPI Number for Unknown Individual is 1700851144

Main info

Organization
Inactive
45 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1700851144
Phone
(812) 473-0181
Address
PO BOX 3276
Deactivation Date
27 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1981 (45 years ago)
PAC ID
6901871086
Group Practice PAC ID
4981508454
Professional Enrollment ID
I20040901000251
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

  • Evansville Post office, 402, Water Street, Evansville, Rock County, Wisconsin, 53536, United States

    EVANSVILLE, IN 477313276

    Phone: (812) 473-0181

    Fax: (812) 473-5822

    Type: Mailing

  • Methodist Hospital, 1305, North Elm Street, Henderson, Henderson County, Kentucky, 42420, United States

    ANESTHESIA DEPARTMENT

    HENDERSON, KY 424202783

    Phone: (270) 827-7700

    Fax: (270) 827-7469

    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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00910Anesthesia for other procedure on urinary system through urethra1918$0
00812Anesthesia for exam of colon using an endoscope1212$0
00918Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope1211$0
View full utilization report →

Insurance plans in this area (ZIP 47731)

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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: 4981508454View full group profile

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1700851144 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Certified Registered Nurse Anesthetist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Evansville, Indiana for Unknown Individual; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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