Unknown Individual – Psychiatry Physician, NPI 1518970367

Unknown Individual is a healthcare provider. based in Marquette, Michigan. specializing in Psychiatry Physician. They hold a License No. 43616-020 (WI). The NPI Number for Unknown Individual is 1518970367

Main info

Organization
Inactive
26 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1518970367
Phone
(906) 228-9440
Address
580 W COLLEGE AVE
Deactivation Date
2 March 2022

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
9062253995
Graduation Year
2000 (26 years ago)
PAC ID
5395717813
Group Practice PAC ID
9931359601
Professional Enrollment ID
I20110323000740
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

  • Marquette General Hospital, 580, West College Avenue, Marquette, Marquette County, Michigan, 49855, United States

    MARQUETTE, MI 498552736

    Phone: (906) 228-9440

    Mailing address matches the actual address.

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 49855)

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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: 9931359601View full group profile
NameSpecialtyState
-MI
Pulmonary DiseaseMI
H O S P I T A L I S TMI
Physician AssistantMI
Thoracic SurgeryIL
Nurse PractitionerMI
-MI
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)MI
-MI
Cardiovascular Disease (Cardiology)MI

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1518970367.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Marquette, Michigan 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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