Unknown Individual – Obstetrics & Gynecology Physician, NPI 1285609347

Unknown Individual is a healthcare provider. based in Fremont, Nebraska. specializing in Obstetrics & Gynecology Physician. They hold a License No. 23347 (NE). The NPI Number for Unknown Individual is 1285609347

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1285609347
Phone
(402) 721-3133
Address
700 E 29TH ST
Deactivation Date
8 August 2022

Doctor Profile

Medical School Name
SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Secondary Phone
4027211610
Graduation Year
1996 (30 years ago)
PAC ID
4183669542
Group Practice PAC ID
4880506062
Professional Enrollment ID
I20050627000107
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

  • Fremont Health Care for Women, 700, East 29th Street, Fremont, Dodge County, Nebraska, 68025, United States

    FREMONT, NE 680252384

    Phone: (402) 721-3133

    Fax: (402) 941-7017

    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 68025)

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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: 4880506062View full group profile
NameSpecialtyState
-IA
N E U R O L O G YNE
Family Practice, HospitalistIA
Nurse PractitionerNE
Internal MedicineNE
-NE
O B S T E T R I C S/ G Y N E C O L O G YNH
Family PracticeNE
Internal MedicineNE
O B S T E T R I C S/ G Y N E C O L O G YNE

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1285609347; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Obstetrics & Gynecology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Fremont, Nebraska for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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