Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1326103490

Unknown Individual is a healthcare provider. based in Farmington, Missouri. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 154494 (MO). The NPI Number for Unknown Individual is 1326103490

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1326103490
Phone
(573) 756-8000
Address
400 PARKLAND DR
Deactivation Date
30 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3037553201
Graduation Year
1987 (39 years ago)
PAC ID
5799723482
Group Practice PAC ID
7416272927
Professional Enrollment ID
I20050422000419
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 400, Parkland Drive, Farmington, Saint Francois County, Missouri, 63640, United States

    FARMINGTON, MO 636402906

    Phone: (573) 756-8000

    Fax: (573) 756-8288

    Type: Location

  • 1101, Holly Court, Farmington, Saint Francois County, Missouri, 63640, United States

    FARMINGTON, MO 636401171

    Phone: (573) 747-1180

    Type: Mailing

  • 1101 HOLLY CT

    FARMINGTON, MO 636401171

    Phone: (573) 631-5116

    Fax: (573) 756-8288

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-04-14 • Largest payer in this snapshot: Rayner Intraocular Lenses Limited ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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 surgery11194$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3030$0
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand2824$0
00812Anesthesia for exam of colon using an endoscope1919$0
00811Anesthesia for other procedure on large bowel using an endoscope1717$0
View full utilization report →

Insurance plans in this area (ZIP 63640)

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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: 7416272927View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
-MO
Certified Registered Nurse Anesthetist (Crna)CO
Certified Registered Nurse Anesthetist (Crna)CO
-CA
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)CO
Certified Registered Nurse Anesthetist (Crna)WA

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1326103490.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Farmington, Missouri may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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