Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1902817364

Unknown Individual is a healthcare provider. based in Plainfield, Indiana. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 1064618 (KY). The NPI Number for Unknown Individual is 1902817364

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1902817364
Phone
(317) 837-5571
Address
1100 SOUTHFIELD DR
Deactivation Date
26 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8125371010
Graduation Year
1984 (42 years ago)
PAC ID
7416919980
Group Practice PAC ID
1254245137
Professional Enrollment ID
I20041028000196
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Southfield Drive, Plainfield, Hendricks County, Indiana, 46168, United States

    SUITE 1370

    PLAINFIELD, IN 461684498

    Phone: (317) 837-5571

    Fax: (317) 837-5580

    Type: Mailing

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

    DANVILLE, IN 461221948

    Phone: (317) 745-4451

    Fax: (317) 718-6740

    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 46168)

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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: 1254245137View full group profile
NameSpecialtyState
-NC
-KY
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YOH
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)WA
-PA
A N E S T H E S I O L O G YKY
Certified Registered Nurse Anesthetist (Crna)PA

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1902817364 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Indiana is Unknown Individual registered?
Use Plainfield, Indiana as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.