Unknown Individual – Family Medicine Physician, NPI 1235237975

Unknown Individual is a healthcare provider. based in Kimball, Nebraska. specializing in Family Medicine Physician. They hold a License No. 21365 (NE). The NPI Number for Unknown Individual is 1235237975

Main info

Organization
Inactive
33 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1235237975
Phone
(308) 235-1951
Address
505 S BURG ST
Deactivation Date
10 May 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
3082351951
Graduation Year
1993 (33 years ago)
PAC ID
8224094180
Group Practice PAC ID
5799751004
Professional Enrollment ID
I20120117000194
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Kimball Health Services, 505, South Burg Street, Stahlas North Court, Kimball, Kimball County, Nebraska, 69145, United States

    KIMBALL, NE 691451313

    Phone: (308) 235-1951

    Fax: (308) 235-1951

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-08-23 • Largest payer in this snapshot: ABBVIE INC. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$16
View all Open Payments →|Open Payments Risk Radar →

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes12542$0
99214Established patient office or other outpatient visit, 30-39 minutes4329$0
99213Established patient office or other outpatient visit, 20-29 minutes1411$0
View full utilization report →

Insurance plans in this area (ZIP 69145)

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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: 5799751004View full group profile
NameSpecialtyState
Nurse PractitionerNE
Nurse PractitionerTX
A N E S T H E S I O L O G YNE
-WY
Physician AssistantPA
Physician AssistantNE
Nurse PractitionerNE
Nurse PractitionerKS
Nurse PractitionerNE
Physician AssistantOH

Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1235237975 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Kimball?
Public fields place Unknown Individual around Kimball, Nebraska. Always confirm the exact site before visiting.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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