Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1427164649

Unknown Individual is a healthcare provider. based in Medford, Oregon. specializing in Certified Registered Nurse Anesthetist. They hold a License No. RNA-646 (ID). The NPI Number for Unknown Individual is 1427164649

Main info

Organization
Inactive
21 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1427164649
Phone
(541) 472-7000
Address
100 EAST MAIN STREET
Deactivation Date
14 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2082881600
Graduation Year
2005 (21 years ago)
PAC ID
6709804016
Group Practice PAC ID
6901793975
Professional Enrollment ID
I20051104000615
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

Loading map...

Provider Addresses for Unknown Individual

  • 100, East Main Street, Medford, Jackson County, Oregon, 97501, United States

    SUITE C

    MEDFORD, OR 975016041

    Phone: (541) 472-7000

    Type: Mailing

  • Asante Three Rivers Medical Center, 500, Ramsey Avenue, Grants Pass, Josephine County, Oregon, 97527, United States

    GRANTS PASS, OR 975275554

    Phone: (208) 336-0895

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-04-13 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($33).

Total Amount

$33

General + Research + Ownership

Payments

1

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-13

Latest reported date

Top Companies

Largest payers in this snapshot

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
00812Anesthesia for exam of colon using an endoscope3232$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2221$0
00142Anesthesia for lens surgery2020$0
00811Anesthesia for other procedure on large bowel using an endoscope1616$0
View full utilization report →

Insurance plans in this area (ZIP 97501)

Loading plans...

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: 6901793975View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1427164649 — is the standard way to identify this listing.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Medford, Oregon in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

MR. CHARLES JOSEPH PARADISE (CRNA)

Certified Registered Nurse Anesthetist
Medical Eye Center, 1333, East Barnett Road, Medford, Jackson County, Oregon, 97504, United States
NPI: 1063402634

KEITH ROBERT ANDERSON (CRNA)

Certified Registered Nurse Anesthetist
2620, East Barnett Road, Medford, Jackson County, Oregon, 97504, United States
NPI: 1073590733

KIMBERLY S KING (CRNA)

Certified Registered Nurse Anesthetist
303 NW 11TH ST
NPI: 1518921964

JOSEPH L JR. FOWLER (CRNA)

Certified Registered Nurse Anesthetist
East Barnett Road, Medford, Jackson County, Oregon, 97504, United States
NPI: 1811079528
LASER & SURGICAL EYE CENTER
NPI: 1649345620

PHILLIP A SOLAR (CRNA)

Certified Registered Nurse Anesthetist
2620, East Barnett Road, Medford, Jackson County, Oregon, 97504, United States
NPI: 1659437903

KEITH ANDREW JENSEN (CRNA)

Certified Registered Nurse Anesthetist
2620 EAST BARNETT RD
NPI: 1447389556

MATTHEW ALLYN FAGERT (CRNA)

Certified Registered Nurse Anesthetist
500 SW RAMSEY AVE
NPI: 1265561377

THOMAS R LEBLANC (CRNA)

Certified Registered Nurse Anesthetist
500 SW RAMSEY
NPI: 1053440172