Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1215930433

Certified Registered Nurse Anesthetist

Unknown Individual is a healthcare provider. based in Lincoln, Nebraska. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 33121 (NE). The NPI Number for Unknown Individual is 1215930433

Main info

Organization

Inactive

44 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1215930433

Phone

(402) 483-7390

Address

7901 LILLIBRIDGE ST

Deactivation Date

22 February 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

4024849090

Graduation Year

1982 (44 years ago)

PAC ID

7113083601

Group Practice PAC ID

9436067154

Professional Enrollment ID

I20090309000237

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

Lillibridge Street, Lincoln, Lancaster County, Nebraska, 68461, United States of America
LINCOLN, NE 685063138
Phone: (402) 483-7390
Fax: (402) 483-0476
Type: Mailing
Lincoln Surgery Hospital, 1710, South 70th Street, Lincoln, Lancaster County, Nebraska, 68506, United States of America
STE 200
LINCOLN, NE 685061677
Phone: (402) 484-9090
Fax: (402) 483-0476
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 68506)

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Provider's Procedures

Unknown Individual performs procedures in Certified Registered Nurse Anesthetist. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHET	NE	00142	Anesthesia for lens surgery	1557	1059

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: 9436067154View full group profile

Name	Specialty	State
NATHAN R OCKENGA (CRNA)	Certified Registered Nurse Anesthetist (Crna)	NE
MARY LINDA LOKER (CRNA)	-	NE

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?

The registry entry for Unknown Individual shows NPI 1215930433.

What happens when Unknown Individual's NPI is not active?

Public data lists Unknown Individual outside the active bucket for this identifier.

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.

Is Unknown Individual tied to Lincoln, Nebraska?

If you are local to Lincoln, Nebraska, Unknown Individual may be relevant to your search.

Can I verify credentials using only NPI?

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