Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1568465888

Unknown Individual is a healthcare provider. based in Boston, Massachusetts. specializing in Certified Registered Nurse Anesthetist. They hold a License No. RN2258158 (MA). The NPI Number for Unknown Individual is 1568465888

Main info

Organization
Inactive
24 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1568465888
Phone
(617) 724-4260
Address
55 FRUIT ST
Deactivation Date
1 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4134472000
Graduation Year
2002 (24 years ago)
PAC ID
7315916699
Group Practice PAC ID
1355232711
Professional Enrollment ID
I20090413000434
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Massachusetts General Hospital, 55, Fruit Street, Beacon Hill, Boston, Suffolk County, Massachusetts, 02114, United States

    BOSTON, MA 021142696

    Phone: (617) 724-4260

    Fax: (336) 841-6217

    Type: Location

  • Greenbrier Street, Lebanon, Laclede County, Missouri, 65536, United States

    LEBANON, MO 655364205

    Phone: (417) 718-2313

    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.

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 02114)

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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: 1355232711View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)VA
Emergency MedicineMI
Emergency MedicineMA
Nurse PractitionerMA
Internal MedicineMA
Emergency MedicineMA
A N E S T H E S I O L O G YMA
-OR
Internal MedicineMA

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1568465888 in the public NPI dataset.
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 specialty?
The listing groups Unknown Individual with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Boston, Massachusetts as a primary anchor for Unknown Individual unless the record lists multiple sites.
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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