Unknown Individual – Family Medicine Physician, NPI 1023074499

Unknown Individual is a healthcare provider. based in Woodbury, Minnesota. specializing in Family Medicine Physician. They hold a License No. 42733 (MN). The NPI Number for Unknown Individual is 1023074499

Main info

Organization
Inactive
27 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1023074499
Phone
(651) 232-0395
Address
1925 WOODWINDS DR
Deactivation Date
22 May 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
4082656087
Group Practice PAC ID
3971407636
Professional Enrollment ID
I20050601000192
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

Loading map...

Provider Addresses for Unknown Individual

  • Woodwinds Health Campus, 1925, Woodwinds Drive, Woodbury, Washington County, Minnesota, 55125, United States

    WOODBURY, MN 551252270

    Phone: (651) 232-0395

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes18999$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes11467$0
99239Hospital discharge day management, more than 30 minutes8583$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5050$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3636$0
View full utilization report →

Insurance plans in this area (ZIP 55125)

Loading plans...

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: 3971407636View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1023074499 for Unknown Individual.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Woodbury, Minnesota in the same public data insurers reference.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

MELISSA J MOHRENWEISER (MD)

Family Medicine Physician
15290 Pennock Ln
NPI: 1790784718

KERRY L SHEEHY (MD)

Family Medicine Physician
1875, Woodwinds Drive, Woodbury, Washington County, Minnesota, 55125, United States
NPI: 1386644250

DR. THOMAS E JONES (MD)

Family Medicine Physician
City Centre Drive, Woodbury, Washington County, Minnesota, 55125, United States
NPI: 1316939564

KELLE O ANDERSON (MD)

Family Medicine Physician
Vibrant Health Family Clinics, 1687, East Division Street, River Falls, Saint Croix County, Wisconsin, 54022, United States
NPI: 1093708505

DR. CRAIG MARTIN HOWARD (MD)

Family Medicine Physician
1303, Palisade Path, Dancing Waters, Woodbury, Washington County, Minnesota, 55129, United States
NPI: 1609867456

PHILIP W STOYKE (MD)

Family Medicine Physician
24, 9th Street Southeast, Long Prairie, Todd County, Minnesota, 56347, United States
NPI: 1699766279

CHRISTOPHER ORREN RESTAD (D.O.)

Family Medicine Physician
8450 Seasons Pkwy
NPI: 1841273703
8450, Seasons Parkway, Woodbury, Washington County, Minnesota, 55125, United States
NPI: 1316922065

DR. BETH ALLISON ADAMS (MD)

Family Medicine Physician
2500 Como Ave
NPI: 1609852102