Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1821303611

Unknown Individual is a healthcare provider. based in Spokane, Washington. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. AP60175869 (WA). The NPI Number for Unknown Individual is 1821303611

Main info

Organization
Inactive
16 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1821303611
Phone
(509) 838-4651
Address
107 S DIVISION ST
Deactivation Date
1 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5098384651
Graduation Year
2010 (16 years ago)
PAC ID
3971786807
Group Practice PAC ID
5092603340
Professional Enrollment ID
I20170822001516
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 107 S DIVISION ST

    SPOKANE, WA 992021510

    Phone: (509) 838-4651

    Fax: (509) 363-2762

    Type: Mailing

  • 419 N Brushwood Ct

    Post Falls, ID 838546764

    Phone: (208) 691-9674

    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 99202)

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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: 5092603340View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1821303611 — is the standard way to identify this listing.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Spokane, Washington as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."