Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1538256243

Unknown Individual is a healthcare provider. based in Denver city, Texas. specializing in Certified Registered Nurse Anesthetist. They hold a License No. AP102896 (TX). The NPI Number for Unknown Individual is 1538256243

Main info

Organization
Inactive
59 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1538256243
Phone
(806) 215-3694
Address
1626 CR 217
Deactivation Date
5 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5803383135
Graduation Year
1967 (59 years ago)
PAC ID
5890786230
Group Practice PAC ID
5395647655
Professional Enrollment ID
I20161209000920
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

  • 1626 CR 217

    DENVER CITY, TX 79323

    Phone: (806) 215-3694

    Fax: (806) 592-2711

    Type: Mailing

  • Memorial Hospital, 209, Northwest 8th Street, Russell Addition, Seminole, Gaines County, Texas, 79360, United States

    SEMINOLE, TX 793603447

    Phone: (432) 758-5811

    Fax: (432) 758-4761

    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 79323)

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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: 5395647655View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine, Nuclear MedicineOK
Hospitalist, Emergency Medicine, Family PracticeKS
Emergency MedicineOK
Nurse PractitionerOK
Family Practice, Emergency MedicineOK
-OK
Family PracticeOK
Nurse PractitionerOK
Nurse PractitionerOK
Emergency MedicineOK

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1538256243.
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.
Does Unknown Individual list a practice location?
Patients near Denver City, Texas may find Unknown Individual in results; validate coverage separately.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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