Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1437145315

Unknown Individual is a healthcare provider. based in Newport, Kentucky. specializing in Certified Registered Nurse Anesthetist. They hold a License No. RN-129683 (OH). The NPI Number for Unknown Individual is 1437145315

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1437145315
Phone
(859) 291-4800
Address
601 WASHINGTON AVE
Deactivation Date
26 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4198935911
Graduation Year
1983 (43 years ago)
PAC ID
8325000110
Group Practice PAC ID
3779483631
Professional Enrollment ID
I20101109000285
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

  • 601, Washington Avenue, The Estates at Wiedemann Mansion, Newport, Campbell County, Kentucky, 41071, United States

    390

    NEWPORT, KY 410711986

    Phone: (859) 291-4800

    Fax: (859) 655-8588

    Type: Mailing

  • McLaren St. Luke's, 5901, Monclova Road, Maumee, Lucas County, Ohio, 43537, United States

    MAUMEE, OH 435371855

    Phone: (419) 897-8370

    Fax: (419) 897-8379

    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 41071)

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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 ANESTHETOH01402Anesthesia for open or endoscopic total knee joint replacement6358

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: 3779483631View full group profile

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1437145315 for Unknown Individual, then check state licensing separately.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Newport, Kentucky in our summary view.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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