Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1730692708

Unknown Individual is a healthcare provider. based in Norfolk, Nebraska. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. 110830 (NE). The NPI Number for Unknown Individual is 1730692708

Main info

Organization
Inactive
24 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1730692708
Phone
(402) 379-2030
Address
333 W NORFOLK AVE STE 201
Deactivation Date
28 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4023792030
Graduation Year
2002 (24 years ago)
PAC ID
6901166115
Group Practice PAC ID
1456367168
Professional Enrollment ID
I20180208001745
Data current as of
20 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

  • 201, West Norfolk Avenue, Mackels Mobile Home Court, Norfolk, Madison County, Nebraska, 68701, United States

    NORFOLK, NE 687015221

    Phone: (402) 379-2030

    Fax: (402) 379-3933

    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 68701)

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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: 1456367168View full group profile
NameSpecialtyState
-NE
Mental Health CounselorNE
Nurse PractitionerND
Nurse PractitionerNE
Mental Health CounselorNE
Mental Health CounselorNE
Mental Health CounselorNE
Mental Health CounselorNE
Clinical PsychologistNE
Mental Health CounselorNE

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1730692708 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Nebraska?
You will see Norfolk, Nebraska on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1730692708. Always confirm identity and privileges with the practice and licensing boards.

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