Unknown Individual – Psychiatry Physician, NPI 1295046506

Unknown Individual is a healthcare provider. based in Hastings, Nebraska. specializing in Psychiatry Physician. They hold a License No. 27911 (NE). The NPI Number for Unknown Individual is 1295046506

Main info

Organization
Inactive
26 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1295046506
Phone
(402) 460-5836
Address
715 N SAINT JOSEPH AVE
Deactivation Date
17 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4024637711
Graduation Year
2000 (26 years ago)
PAC ID
2668690421
Group Practice PAC ID
4587575550
Professional Enrollment ID
I20140820002008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

Provider Addresses for Unknown Individual

  • 715 N SAINT JOSEPH AVE

    HASTINGS, NE 689014451

    Phone: (402) 460-5836

    Fax: (402) 460-5829

    Type: Mailing

  • 835 S BURLINGTON AVE STE 108

    HASTINGS, NE 689016928

    Phone: (402) 463-7711

    Fax: (402) 461-5099

    Type: Location

  • 1300 E BRADFORD PKWY

    SPRINGFIELD, MO 658044264

    Phone: (417) 761-5000

    Fax: (417) 761-5011

    Type: Mailing

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.

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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.

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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 Psychiatry Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYNE90833Psychotherapy, 30 minutes with patient and/or family member6633

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

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1295046506.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Hastings, Nebraska may find Unknown Individual in results; validate coverage separately.
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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