Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1700830023

Unknown Individual is a healthcare provider. based in Reno, Nevada. specializing in Certified Registered Nurse Anesthetist. They hold a License No. RN402719 (CA). The NPI Number for Unknown Individual is 1700830023

Main info

Organization
Inactive
37 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1700830023
Phone
(775) 747-5050
Address
PO BOX 34120
Deactivation Date
13 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9516798888
Graduation Year
1989 (37 years ago)
PAC ID
6901874775
Group Practice PAC ID
0941465512
Professional Enrollment ID
I20040920000647
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

  • Box, Poststraße, Troisdorf-Mitte, Troisdorf, Rhein-Sieg-Kreis, North Rhine-Westphalia, 53840, Germany

    RENO, NV 895334120

    Phone: (775) 747-5050

    Fax: (775) 747-5005

    Type: Mailing

  • 445, South Cedar Avenue, Fresno, Fresno County, California, 93702, United States

    FRESNO, CA 937022907

    Phone: (559) 459-6000

    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 89533)

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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: 0941465512View full group profile
NameSpecialtyState
-CA
-MS
A N E S T H E S I O L O G YTX

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1700830023.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Reno, Nevada?
For routing, start with Reno, Nevada for Unknown Individual, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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