Unknown Individual – Medical Physician Assistant, NPI 1154327443

Unknown Individual is a healthcare provider. based in Phillipsburg, Kansas. specializing in Medical Physician Assistant. They hold a License No. 15-00690 (KS). The NPI Number for Unknown Individual is 1154327443

Main info

Organization
Inactive
22 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1154327443
Phone
(785) 543-5211
Address
PO BOX 547
Deactivation Date
29 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
7855435226
Graduation Year
2004 (22 years ago)
PAC ID
7911945522
Group Practice PAC ID
7012231251
Professional Enrollment ID
I20050422000650
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

Provider Addresses for Unknown Individual

  • PO BOX 547

    PHILLIPSBURG, KS 676610547

    Phone: (785) 543-5211

    Fax: (785) 543-5274

    Type: Mailing

  • 1719 HIGHWAY 183

    PHILLIPSBURG, KS 67661

    Phone: (785) 543-5211

    Fax: (785) 543-5274

    Type: Location

  • 128 S 5th St

    Osborne, KS 674732304

    Phone: (785) 346-2033

    Fax: (785) 346-2919

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-06-27 • Largest payer in this snapshot: Lilly USA, LLC ($17).

Total Amount

$31

General + Research + Ownership

Payments

2

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-27

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4038$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3727$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2623$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 67661)

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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: 7012231251View full group profile
NameSpecialtyState
Nurse PractitionerKS
-NE
Physician AssistantKS
Family PracticeKS
Nurse PractitionerKS
Nurse PractitionerKS
Family PracticeKS
Physician AssistantKS

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1154327443 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Phillipsburg, Kansas as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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