Unknown Individual – Maternal & Fetal Medicine Physician, NPI 1386617785

Unknown Individual is a healthcare provider. based in Lincoln, Nebraska. specializing in Maternal & Fetal Medicine Physician. They hold a License No. 31413 (NE). The NPI Number for Unknown Individual is 1386617785

Main info

Organization
Inactive
58 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1386617785
Phone
(402) 219-8005
Address
575 S 70TH ST STE 405
Deactivation Date
19 April 2021

Doctor Profile

Medical School Name
JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Secondary Phone
2527441400
Graduation Year
1968 (58 years ago)
PAC ID
5698964419
Group Practice PAC ID
0244143246
Professional Enrollment ID
I20171227000746
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 575 S 70TH ST STE 405

    LINCOLN, NE 685102471

    Phone: (402) 219-8005

    Fax: (402) 219-8084

    Type: Mailing

  • 1204 W Main St Fl 3

    Charlottesville, VA 22903

    Phone: (434) 924-2500

    Fax: (434) 244-9487

    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 68510)

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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: 0244143246View full group profile
NameSpecialtyState
-NC
-NC
-NC
-VA
O B S T E T R I C S/ G Y N E C O L O G YNC
Nurse PractitionerNC
Diagnostic RadiologyNC
Nurse PractitionerNC
Pediatric MedicineNC
Nurse PractitionerNC

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 1386617785.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Maternal & Fetal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Lincoln, Nebraska may find Unknown Individual in results; validate coverage separately.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."