Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1013330547

Unknown Individual is a healthcare provider. based in Ankeny, Iowa. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 117299 (IA). The NPI Number for Unknown Individual is 1013330547

Main info

Organization
Inactive
12 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1013330547
Phone
(515) 554-5777
Address
2620 SW 20TH CIR
Deactivation Date
3 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5152830463
Graduation Year
2014 (12 years ago)
PAC ID
1254554512
Group Practice PAC ID
4082527270
Professional Enrollment ID
I20140514001730
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

Provider Addresses for Unknown Individual

  • 2620 SW 20TH CIR

    ANKENY, IA 500232295

    Phone: (515) 554-5777

    Type: Mailing

  • 411 LAUREL ST

    SUITE 3170

    DES MOINES, IA 503143017

    Phone: (515) 283-0463

    Fax: (515) 283-0794

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $101.

Total Amount is formed as General ($101) + Research ($0) + Ownership ($0) = $101.

Last reported payment date: 2024-02-26 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($50).

Total Amount

$101

General + Research + Ownership

Payments

5

Total payment records

General Amount

$101

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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 50023)

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Provider's Procedures

Unknown Individual performs procedures in Certified Registered Nurse Anesthetist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETIA36620Insertion of arterial catheter for blood sampling or infusion, accessed through the skin2525

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: 4082527270View full group profile
NameSpecialtyState
Anesthesiology, Pain ManagementIL
-IA
-IA
Certified Registered Nurse Anesthetist (Crna)IA
A N E S T H E S I O L O G YIA
A N E S T H E S I O L O G YIA
A N E S T H E S I O L O G YIA
-PA
Certified Registered Nurse Anesthetist (Crna)NC
-IA

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1013330547; it appears in the national provider directory.
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 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 Ankeny, Iowa for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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