Unknown Individual – Family Medicine Physician, NPI 1033146261

Unknown Individual is a healthcare provider. based in Wenatchee, Washington. specializing in Family Medicine Physician. They hold a License No. MD00045762 (WA). The NPI Number for Unknown Individual is 1033146261

Main info

Organization
Inactive
23 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1033146261
Phone
(509) 665-6125
Address
933 Red Apple Rd
Deactivation Date
17 April 2024

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
5096823300
Graduation Year
2003 (23 years ago)
PAC ID
7810992559
Group Practice PAC ID
9133027360
Professional Enrollment ID
I20061002000201
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

Provider Addresses for Unknown Individual

  • 933 Red Apple Rd

    Ste D

    Wenatchee, WA 988013370

    Phone: (509) 665-6125

    Fax: (509) 665-6124

    Type: Location

  • 933, Red Apple Road, Wenatchee, Chelan County, Washington, 98801, United States

    STE D

    WENATCHEE, WA 988013370

    Phone: (509) 665-6125

    Fax: (509) 665-6124

    Type: Mailing

  • Lake Chelan Community Hospital, 503, East Highland Avenue, Chelan, Chelan County, Washington, 98816, United States

    CHELAN, WA 988168631

    Phone: (509) 682-3300

    Fax: (509) 682-9614

    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 98801)

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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: 9133027360View full group profile
NameSpecialtyState
Internal MedicineIN
Hospitalist, Family PracticeMN
Family PracticeKS
Diagnostic RadiologyMN
Physician AssistantWA
Hospitalist, Family PracticeNV
Physician AssistantWA
General SurgeryMN
Physician AssistantWA
Diagnostic RadiologyMN

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1033146261 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Wenatchee, Washington. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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