Unknown Individual – Nurse Practitioner, NPI 1427054600

Unknown Individual is a healthcare provider. based in Umatilla, Oregon. specializing in Nurse Practitioner. They hold a License No. 200050078NP (OR). The NPI Number for Unknown Individual is 1427054600

Main info

Organization
Inactive
26 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1427054600
Phone
(541) 922-1750
Address
PO BOX 1290
Deactivation Date
29 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
6901802735
Professional Enrollment ID
I20061018000221
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

  • PO BOX 1290

    UMATILLA, OR 978821290

    Phone: (541) 922-1750

    Type: Mailing

  • Bucks Lane, Umatilla, Umatilla County, Oregon, 97882, United States

    UMATILLA, OR 978826249

    Phone: (541) 922-1750

    Fax: (541) 922-1753

    Type: Location

  • 135 Vista Way Ste E

    Kennewick, WA 993363169

    Phone: (541) 922-1750

    Type: Location

  • 616 The Pkwy

    Richland, WA 993524233

    Phone: (541) 922-1750

    Type: Location

  • 714 SW Dorion Ave

    Pendleton, OR 978012086

    Phone: (541) 922-1750

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-01-12 • Largest payer in this snapshot: ABBVIE INC. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$19
View all Open Payments →|Open Payments Risk Radar →

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
99213Established patient office or other outpatient visit, 20-29 minutes1413$0
99214Established patient office or other outpatient visit, 30-39 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 97882)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1427054600 if you need a stable reference for Unknown Individual.
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 Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Umatilla, Oregon because that is what the record indicates for Unknown Individual.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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