Unknown Individual – Nurse Practitioner, NPI 1740201466

Unknown Individual is a healthcare provider. based in Clarinda, Iowa. specializing in Nurse Practitioner. They hold a License No. A109503 (IA). The NPI Number for Unknown Individual is 1740201466

Main info

Organization
Inactive
24 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1740201466
Phone
(712) 542-2176
Address
PO BOX 217
Deactivation Date
26 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7125428330
Graduation Year
2002 (24 years ago)
PAC ID
9032119920
Group Practice PAC ID
4587573993
Professional Enrollment ID
I20061227000069
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

  • PO BOX 217

    CLARINDA, IA 516322625

    Phone: (712) 542-2176

    Fax: (712) 542-8311

    Type: Mailing

  • Clarinda Regional Health Center, 220, Essie Davison Drive, Clarinda, Page County, Iowa, 51632, United States

    CLARINDA, IA 516322915

    Phone: (712) 542-8330

    Fax: (712) 542-3373

    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 51632)

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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: 4587573993View full group profile
NameSpecialtyState
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerIA
-IA
Orthopedic Surgery, Sports MedicineSD
Nurse PractitionerNE
H E M A T O L O G Y/ O N C O L O G YOR
P O D I A T R YNE
General PracticeWI
Family Practice, Emergency MedicineIA

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1740201466.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Clarinda, Iowa because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1740201466. Always confirm identity and privileges with the practice and licensing boards.

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