Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1902836968

Certified Registered Nurse Anesthetist

Unknown Individual is a healthcare provider. based in Kearney, Nebraska. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 100570 (NE). The NPI Number for Unknown Individual is 1902836968

Main info

Organization

Inactive

44 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1902836968

Phone

(308) 236-5506

Address

PO BOX 1771

Deactivation Date

11 September 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

3084553600

Graduation Year

1982 (44 years ago)

PAC ID

4082607791

Group Practice PAC ID

7315127701

Professional Enrollment ID

I20040617000781

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

Kearney Post Office, Avenue E, Kearney, Buffalo County, Nebraska, 68847, United States
KEARNEY, NE 688481771
Phone: (308) 236-5506
Fax: (308) 236-7089
Type: Mailing
115, East 52nd Street, Kearney, Buffalo County, Nebraska, 68847, United States
KEARNEY, NE 688470502
Phone: (308) 236-5506
Fax: (308) 236-7089
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 68848)

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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: 7315127701View full group profile

Name	Specialty	State
PATRICK A. CAMPBELL (CRNA)	-	NE

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Frequently asked questions

What unique ID ties claims to Unknown Individual?

NPI 1902836968 is assigned to Unknown Individual under the national enumeration system.

What is the next step if Unknown Individual is inactive?

Treat inactive as a signal to verify Unknown Individual through official channels.

Can you summarize Unknown Individual's specialty in plain language?

Clinically, the directory lists Unknown Individual with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.

Where is Unknown Individual's primary listing?

We display Kearney, Nebraska because that is what the record indicates for Unknown Individual.

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.