Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1225147879

Unknown Individual is a healthcare provider. based in Lowell, Massachusetts. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 168306 (MA). The NPI Number for Unknown Individual is 1225147879

Main info

Organization
Inactive
37 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1225147879
Phone
(978) 937-6235
Address
295 VARNUM AVENEU
Deactivation Date
8 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9786894601
Graduation Year
1989 (37 years ago)
PAC ID
9931169828
Group Practice PAC ID
3072556141
Professional Enrollment ID
I20041014000979
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

  • 295 VARNUM AVENEU

    LOWELL, MA 018542193

    Phone: (978) 937-6235

    Type: Location

  • 46, Hillside Terrace, Long Pond Park, Dracut, Middlesex County, Massachusetts, 01854, United States

    DRACUT, MA 01826

    Phone: (978) 957-8966

    Type: Mailing

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.

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Medicare Enrollment & Revalidation

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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)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01854)

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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: 3072556141View full group profile
NameSpecialtyState
Anesthesiology, Interventional Pain ManagementMA
A N E S T H E S I O L O G YMA
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YMA
A N E S T H E S I O L O G YMA
A N E S T H E S I O L O G YMA
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)MA
A N E S T H E S I O L O G YMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1225147879.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Lowell, Massachusetts?
If you are local to Lowell, Massachusetts, Unknown Individual may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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