Unknown Individual – Anesthesiology Physician, NPI 1477529774

Unknown Individual is a healthcare provider. based in Lincoln, Nebraska. specializing in Anesthesiology Physician. They hold a License No. NE22562 (NE). The NPI Number for Unknown Individual is 1477529774

Main info

Organization
Inactive
32 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1477529774
Phone
(402) 489-4186
Address
2900 S 70TH ST STE 450
Deactivation Date
13 November 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4024890200
Graduation Year
1994 (32 years ago)
PAC ID
7517933864
Group Practice PAC ID
4385630391
Professional Enrollment ID
I20040908000529
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

  • South 70th Street, Lincoln, Lancaster County, Nebraska, 68516, United States

    LINCOLN, NE 685063796

    Phone: (402) 489-4186

    Fax: (402) 489-5279

    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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)4543$0
64999Other procedure on nervous system3636$0
76942Ultrasonic guidance for needle placement3636$0
01402Anesthesia for procedure for total knee joint replacement2121$0
64415Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)1717$0
View full utilization report →

Insurance plans in this area (ZIP 68506)

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Provider's Procedures

Unknown Individual performs procedures in Anesthesiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYNE76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle8786

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: 4385630391View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NE
Certified Registered Nurse Anesthetist (Crna)KY
A N E S T H E S I O L O G YNE
Certified Registered Nurse Anesthetist (Crna)NE
Certified Registered Nurse Anesthetist (Crna)NE
-NE
Certified Registered Nurse Anesthetist (Crna)NE
Certified Registered Nurse Anesthetist (Crna)NE
Certified Registered Nurse Anesthetist (Crna)NE
Certified Registered Nurse Anesthetist (Crna)NE

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1477529774 as the unique 10-digit identifier.
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 kind of doctor is Unknown Individual?
Unknown Individual is associated with Anesthesiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Lincoln?
Unknown Individual currently maps to Lincoln, Nebraska in this extract.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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