Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1265776603

Unknown Individual is a healthcare provider. based in Harrisburg, Pennsylvania. specializing in Certified Registered Nurse Anesthetist. They hold a License No. RN566127 (PA). The NPI Number for Unknown Individual is 1265776603

Main info

Organization
Inactive
14 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1265776603
Phone
(717) 782-3282
Address
409 S 2ND ST
Deactivation Date
3 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7177823282
Graduation Year
2012 (14 years ago)
PAC ID
7618122771
Group Practice PAC ID
1951662980
Professional Enrollment ID
I20130222000062

Contacts

Secure Messaging
bwilliams25849@phsdirect.pinnaclehealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 409 S 2ND ST

    SUITE 2F

    HARRISBURG, PA 171041612

    Phone: (717) 782-3282

    Fax: (717) 231-8964

    Type: Mailing

  • 111 S FRONT ST

    HARRISBURG, PA 171012010

    Phone: (717) 782-5118

    Fax: (717) 782-5854

    Type: Location

  • 111 S Front St

    Harrisburg, PA 171012010

    Phone: (717) 782-5118

    Fax: (717) 782-5854

    Type: Location

  • 1701 Cornwall Rd Ste 100

    Lebanon, PA 170427480

    Phone: (717) 299-4871

    Fax: (717) 517-5173

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01938Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance2825$0
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand1818$0
View full utilization report →

Insurance plans in this area (ZIP 17104)

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Provider's Procedures

Unknown Individual performs procedures in Certified Registered Nurse Anesthetist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETPA00142Anesthesia for lens surgery153147
CERTIFIED REGISTERED NURSE ANESTHETPA01402Anesthesia for open or endoscopic total knee joint replacement2525

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: 1951662980View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)PA
A N E S T H E S I O L O G YPA
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)FL
Anesthesiology, Pain ManagementPA
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)PA

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1265776603 — the number used across U.S. healthcare to identify this provider.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Harrisburg, Pennsylvania.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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