Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1295711729

Unknown Individual is a healthcare provider. based in Kansas city, Missouri. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 55431 (KS). The NPI Number for Unknown Individual is 1295711729

Main info

Organization
Inactive
21 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1295711729
Phone
(816) 763-5446
Address
10301 HICKMAN MILLS DR
Deactivation Date
2 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5635898000
Graduation Year
2005 (21 years ago)
PAC ID
2163469073
Group Practice PAC ID
4880584879
Professional Enrollment ID
I20090507000071
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

  • 10301, Hickman Mills Drive, Holmes Park, Kansas City, Jackson County, Missouri, 64137, United States

    100

    KANSAS CITY, MO 641371674

    Phone: (816) 763-5446

    Fax: (816) 763-8426

    Type: Mailing

  • Overland Park Regional Medical Center, 10500, Quivira Road, Overland Park, Johnson County, Kansas, 66215, United States

    OVERLAND PARK, KS 662152306

    Phone: (816) 763-5446

    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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery2323$0
00812Anesthesia for exam of colon using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 64137)

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Provider's Procedures

Unknown Individual performs procedures in Certified Registered Nurse Anesthetist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETKS01402Anesthesia for open or endoscopic total knee joint replacement1111

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: 4880584879View full group profile

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 1295711729 in the public NPI dataset.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Kansas City, Missouri in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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