Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1811910169

Unknown Individual is a healthcare provider. based in Lufkin, Texas. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 619010 (TX). The NPI Number for Unknown Individual is 1811910169

Main info

Organization
Inactive
20 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1811910169
Phone
(936) 639-3036
Address
PO BOX 1447
Deactivation Date
13 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9366348111
Graduation Year
2006 (20 years ago)
PAC ID
4688670763
Group Practice PAC ID
5395883359
Professional Enrollment ID
I20061012000437
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 1447

    LUFKIN, TX 759021447

    Phone: (936) 639-3036

    Type: Mailing

  • CHI Saint Luke's Health-Memorial Lufkin, 1201, West Frank Avenue, Lufkin, Angelina County, Texas, 75904, United States

    LUFKIN, TX 759043357

    Phone: (936) 639-3036

    Fax: (936) 639-3064

    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 75902)

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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 ANESTHETTX00790Anesthesia for procedure in upper abdomen including use of an endoscope1818

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: 5395883359View full group profile
NameSpecialtyState
-TX
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YTX
-TX
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
-GA

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1811910169.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Lufkin, Texas; more addresses can appear in NPPES.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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