Unknown Individual – Nurse Practitioner, NPI 1801975750

Unknown Individual is a healthcare provider. based in Rangeley, Maine. specializing in Nurse Practitioner. They hold a License No. AC002411 (MD). The NPI Number for Unknown Individual is 1801975750

Main info

Organization
Inactive
22 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1801975750
Phone
(207) 864-2699
Address
PO BOX 569
Deactivation Date
10 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5095472204
Graduation Year
2004 (22 years ago)
PAC ID
3971567132
Group Practice PAC ID
4183517469
Professional Enrollment ID
I20200716003189
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:0State licenses:3Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 569

    RANGELEY, ME 049700569

    Phone: (207) 864-2699

    Fax: (207) 864-2969

    Type: Mailing

  • 11101 CATHAGE RD

    BERLIN, MD 21811

    Phone: (410) 912-6104

    Fax: (410) 912-6105

    Type: Location

  • 600 Gallegos St

    Logan, NM 88426

    Phone: (505) 487-5488

    Fax: (505) 487-5489

    Type: Location

  • PO Box 1367

    Bethel, ME 042171367

    Phone: (207) 824-2193

    Fax: (207) 824-3005

    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 04970)

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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: 4183517469View full group profile
NameSpecialtyState
Family PracticeWA
O P T O M E T R YWA
Nurse PractitionerCA
-WA
-WA
Family Practice, Obstetrics/GynecologyWA
Family PracticeIL
-SC
Nurse PractitionerWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1801975750 — 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.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Maine is Unknown Individual registered?
Use Rangeley, Maine as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.