Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1568601821

Unknown Individual is a healthcare provider. based in Williamsburg, Virginia. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 0024168280 (VA). The NPI Number for Unknown Individual is 1568601821

Main info

Organization
Inactive
17 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1568601821
Phone
(757) 635-8998
Address
324 MONTICELLO AVE
Deactivation Date
4 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
3870630072
Professional Enrollment ID
I20091020000728
Data current as of
20 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

  • 324, Monticello Avenue, Williamsburg, Virginia, 23185, United States

    WILLIAMSBURG, VA 231852834

    Phone: (757) 635-8998

    Type: Location

  • 344, Tulls Creek Road, Tulls Bay Colony, Morse, Moyock, Currituck County, North Carolina, 27958, United States

    MOYOCK, NC 279589368

    Phone: (757) 635-8998

    Type: Mailing

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 $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-04-13 • Largest payer in this snapshot: VYAIRE MEDICAL, INC. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
VYAIRE MEDICAL, INC.$14
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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23185)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1568601821.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Williamsburg?
Public fields place Unknown Individual around Williamsburg, Virginia. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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