Unknown Individual – Medical Physician Assistant, NPI 1285611871

Unknown Individual is a healthcare provider. based in Richland, Washington. specializing in Medical Physician Assistant. They hold a License No. PA10001680 (WA). The NPI Number for Unknown Individual is 1285611871

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1285611871
Phone
(509) 946-7646
Address
310 TORBETT ST
Deactivation Date
15 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5099467646218
Graduation Year
1979 (47 years ago)
PAC ID
6305730847
Group Practice PAC ID
7618865775
Professional Enrollment ID
I20040213000432
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 310, Torbett Street, Gold Coast District, Tri-Cities, Benton County, Washington, 99354, United States

    RICHLAND, WA 993542604

    Phone: (509) 946-7646

    Fax: (509) 946-7666

    Type: Mailing

  • Tri-Cities Community Health, 515, Court Street, Pasco, Franklin County, Washington, 99301, United States

    PASCO, WA 99301

    Phone: (509) 547-2204

    Fax: (509) 542-8836

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 129 Open Payments records for all available years, with a total value of $3,113.

Total Amount is formed as General ($3,113) + Research ($0) + Ownership ($0) = $3,113.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($973).

Total Amount

$3,113

General + Research + Ownership

Payments

129

Total payment records

General Amount

$3,113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes388197$0
99204New patient office or other outpatient visit, 45-59 minutes4646$0
99215Established patient office or other outpatient visit, 40-54 minutes2726$0
83036Hemoglobin a1c level2621$0
81003Automated urinalysis test1918$0
View full utilization report →

Insurance plans in this area (ZIP 99354)

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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: 7618865775View full group profile
NameSpecialtyState
Nurse PractitionerWA
Physician AssistantWA
-WA
Physician AssistantWA
Physician AssistantWA
Physician AssistantWA
Nurse PractitionerWA
Physician AssistantWA
Nurse PractitionerWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1285611871.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Richland, Washington for Unknown Individual; download NPPES for the complete set.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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