Unknown Individual – Family Medicine Physician, NPI 1144250135

Unknown Individual is a healthcare provider. based in Dawson, Minnesota. specializing in Family Medicine Physician. They hold a License No. 25343 (MN). The NPI Number for Unknown Individual is 1144250135

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1144250135
Phone
(320) 769-4393
Address
1272 WALNUT ST
Deactivation Date
2 January 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
3207694323
Graduation Year
1977 (49 years ago)
PAC ID
4880593300
Group Practice PAC ID
5395653836
Professional Enrollment ID
I20040105000311

Contacts

Secure Messaging
rgerbig@jmhs.securechart.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • 1272, Walnut Street, Dawson, Lac qui Parle County, Minnesota, 56232, United States

    DAWSON, MN 562322333

    Phone: (320) 769-4393

    Fax: (320) 769-2972

    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 56232)

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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: 5395653836View full group profile
NameSpecialtyState
Nurse PractitionerMN
General SurgeryMN
Nurse PractitionerWI
Nurse PractitionerMN
Nurse PractitionerSD
Family Practice, Emergency MedicineMN
Hand Surgery, Orthopedic SurgeryMN
General SurgeryKY
Nurse PractitionerMN
Family PracticeSD

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1144250135.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
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.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Dawson, Minnesota in registry-derived data.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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