Unknown Individual – Physician Assistant, NPI 1194226787

Unknown Individual is a healthcare provider. based in Omaha, Nebraska. specializing in Physician Assistant. They hold a License No. 2223 (NE). The NPI Number for Unknown Individual is 1194226787

Main info

Organization
Inactive
9 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1194226787
Phone
(402) 354-2100
Address
PO BOX 3755
Deactivation Date
12 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4027211610
Graduation Year
2017 (9 years ago)
PAC ID
4587926415
Group Practice PAC ID
0446228852
Professional Enrollment ID
I20180313000822
Data current as of
20 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

  • PO BOX 3755

    OMAHA, NE 681030755

    Phone: (402) 354-2100

    Fax: (402) 354-2155

    Type: Mailing

  • Methodist HealthWest, 16120, West Dodge Road, Omaha, Douglas County, Nebraska, 68118, United States

    OMAHA, NE 681182049

    Phone: (402) 354-0707

    Fax: (402) 354-0711

    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 68103)

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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: 0446228852View full group profile
NameSpecialtyState
-NE
Orthopedic SurgeryNE
Nurse PractitionerIA
Physician AssistantNE
Orthopedic Surgery, Orthopedic Surgery, Hand SurgeryNE
Physician AssistantNE
Physician AssistantNE
A N E S T H E S I O L O G YNE
Physician AssistantNE
Physician AssistantNE

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 1194226787 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.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Omaha, Nebraska in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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