Unknown Individual – Family Medicine Physician, NPI 1134160971

Unknown Individual is a healthcare provider. based in Hastings, Nebraska. specializing in Family Medicine Physician. They hold a License No. 12652 (NE). The NPI Number for Unknown Individual is 1134160971

Main info

Organization
Inactive
53 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1134160971
Phone
(402) 463-6781
Address
606 N MINNESOTA AVE
Deactivation Date
25 February 2022

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4024615265
Graduation Year
1973 (53 years ago)
PAC ID
3870596240
Group Practice PAC ID
4587575550
Professional Enrollment ID
I20100308000093
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

  • Community Health Center, 606, North Minnesota Avenue, Countryside Parks, Hastings, Adams County, Nebraska, 68901, United States

    SUITE A

    HASTINGS, NE 689015256

    Phone: (402) 463-6781

    Fax: (402) 463-7056

    Mailing address matches the actual address.

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 68901)

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Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINENE85610Blood test, clotting time22017

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: 4587575550View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
-NE
Emergency MedicineOH
Physician AssistantNE
Cardiovascular Disease (Cardiology)NE
Physician AssistantNE
-TN
Orthopedic SurgeryNE
Family PracticeNE
-CO

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 1134160971 in the public NPI dataset.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Hastings, Nebraska; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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