Unknown Individual – Primary Care Nurse Practitioner, NPI 1659479723

Unknown Individual is a healthcare provider. based in Ione, Washington. specializing in Primary Care Nurse Practitioner. They hold a License No. AP60007062 (WA). The NPI Number for Unknown Individual is 1659479723

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1659479723
Phone
(509) 442-3514
Address
PO BOX 197
Deactivation Date
30 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5099358424
Graduation Year
1985 (41 years ago)
PAC ID
3779677984
Group Practice PAC ID
1951202373
Professional Enrollment ID
I20070919000398
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 197

    IONE, WA 991390197

    Phone: (509) 442-3514

    Fax: (509) 442-3436

    Type: Mailing

  • 208 CEDAR CREEK TERRACE

    IONE, WA 991390197

    Phone: (509) 442-3514

    Fax: (509) 442-3436

    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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83037Hemoglobin a1c level, by device for home use9335$0
81002Urinalysis, manual test5646$0
82043Urine microalbumin (protein) level2523$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza2120$0
View full utilization report →

Insurance plans in this area (ZIP 99139)

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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: 1951202373View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerWA
Nurse PractitionerCA
Nurse PractitionerFL
-WA
Nurse PractitionerWA
Internal MedicineWA
Family PracticeWA
Nurse PractitionerWA
Physician AssistantMT

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 1659479723.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Ione, Washington as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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