Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1891786562

Certified Registered Nurse Anesthetist

Unknown Individual is a healthcare provider. based in St. louis, Missouri. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 054393 (MO). The NPI Number for Unknown Individual is 1891786562

Main info

Organization

Inactive

52 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1891786562

Phone

(314) 286-1050

Address

660 S EUCLID AVE

Deactivation Date

31 January 2022

Doctor Profile

Medical School Name

OTHER

Secondary Phone

6182887483

Graduation Year

1974 (52 years ago)

PAC ID

8224036264

Group Practice PAC ID

8820008568

Professional Enrollment ID

I20090423000531

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

660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
ST. LOUIS, MO 631101093
Phone: (314) 286-1050
Fax: (314) 747-5157
Type: Location
3830, Secretariat Drive, Saint Louis County, Missouri, 63034, United States
ST. LOUIS, MO 63034
Phone: (314) 838-3458
Fax: (314) 747-5157
Type: Mailing

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.

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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.

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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 63110)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?

Administrative and clinical systems typically use NPI 1891786562 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.

What services align with Unknown Individual's listing?

Unknown Individual's public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.

What geographic area is tied to Unknown Individual?

Unknown Individual is associated with St. Louis, Missouri in the same public data insurers reference.

Can I verify credentials using only NPI?

NPI confirms identity in the directory; licensure and board certification require separate checks.

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