Unknown Individual – Advanced Practice Midwife, NPI 1962418632

Unknown Individual is a healthcare provider. based in Kansas city, Missouri. specializing in Advanced Practice Midwife. They hold a License No. 058582 (MO). The NPI Number for Unknown Individual is 1962418632

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1962418632
Phone
(816) 404-3744
Address
7900 LEE'S SUMMIT RD
Deactivation Date
10 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8162467200
Graduation Year
1974 (52 years ago)
PAC ID
1850453895
Group Practice PAC ID
7315841418
Professional Enrollment ID
I20081229000370
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

  • Truman Medical Center Lakewood, 7900, Lee's Summit Road, Kansas City, Jackson County, Missouri, 64139, United States

    MEDICAL STAFF OFFICE

    KANSAS CITY, MO 641391236

    Phone: (816) 404-3744

    Fax: (816) 404-7225

    Type: Mailing

  • 3450, Northeast Ralph Powell Road, Chapel Ridge Business Park, Lee's Summit, Jackson County, Missouri, 64064, United States

    LEES SUMMIT, MO 640642361

    Phone: (816) 246-7200

    Fax: (816) 404-2748

    Type: Location

  • 2301 Holmes St

    Kansas City, MO 641082640

    Phone: (816) 404-4020

    Fax: (816) 404-4021

    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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64139)

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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: 7315841418View full group profile
NameSpecialtyState
-NM
Nurse PractitionerMO
-IL
-MO
-MO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
Certified Registered Nurse Anesthetist (Crna)MO
A N E S T H E S I O L O G YMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1962418632 if you need a stable reference for Unknown Individual.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Kansas City, Missouri for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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