Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1457803983

Certified Registered Nurse Anesthetist

Unknown Individual is a healthcare provider. based in Eden prairie, Minnesota. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 218994 (WI). The NPI Number for Unknown Individual is 1457803983

Main info

Organization

Inactive

10 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1457803983

Phone

(515) 783-4909

Address

13560 TECHNOLOGY DR APT 1320

Deactivation Date

12 March 2026

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5152241984

Graduation Year

2016 (10 years ago)

PAC ID

7517249592

Group Practice PAC ID

1456343763

Professional Enrollment ID

I20170127000505

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience41

Completeness75

Years active:0State licenses:4Digital endpointsOther names

Provider Addresses for Unknown Individual

13560 TECHNOLOGY DR APT 1320
EDEN PRAIRIE, MN 553442264
Phone: (515) 783-4909
Type: Mailing
1455 29TH ST
WEST DES MOINES, IA 502661302
Phone: (785) 341-0418
Type: Location

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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
64447	Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	24	21	$0
01402	Anesthesia for procedure for total knee joint replacement	22	20	$0
64450	Injection of anesthetic agent and/or steroid into other nerve or branch	22	19	$0
76942	Ultrasonic guidance for needle placement	22	19	$0

View full utilization report →

Insurance plans in this area (ZIP 55344)

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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: 1456343763View full group profile

Name	Specialty	State
SARAH STEPHAS (CRNA)	Certified Registered Nurse Anesthetist (Crna)	IA
DANIEL JAMES BALDI (D.O.)	-	IA
DR. RICHARD J PEIRCE (MD)	-	IA
DR. ANDREW GEORGE SPELLMAN (D.O.)	A N E S T H E S I O L O G Y	IA
MS. JOCELYN L. KNOP DUMSTORFF (CRNA)	Certified Registered Nurse Anesthetist (Crna)	IA
SARAH BETH BISCOGLIA (ARNP)	Nurse Practitioner	IA
DR. ROGER DALE KUNZ (M.D.)	-	IA
DR. JAMES EDWARD SYKES (D.O.)	Anesthesiology, Interventional Pain Management	IA
DR. STEVEN ROGER QUAM (D.O.)	Anesthesiology, Pain Management	IA
PATRICIA K SLADKY (CRNA)	-	IA

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?

The federal identifier for Unknown Individual is NPI 1457803983.

Why would Unknown Individual's listing show inactive?

Inactive in NPPES means the identifier is not currently active in that dataset.

What field does Unknown Individual work in?

You can think of Unknown Individual as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.

What location metadata exists for Unknown Individual?

The page summarizes Eden Prairie, Minnesota for Unknown Individual; expand the address list for detail.

How can I contact Unknown Individual?

Phone or fax may appear on the official NPI record when supplied — verify before relying on them.