Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1861458796

Unknown Individual is a healthcare provider. based in Kennewick, Washington. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. AP30005296 (WA). The NPI Number for Unknown Individual is 1861458796

Main info

Organization
Inactive
29 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1861458796
Phone
(509) 734-2092
Address
732 N CENTER PKWY
Deactivation Date
27 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5097342092
Graduation Year
1997 (29 years ago)
PAC ID
8325180094
Professional Enrollment ID
I20100118000305
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

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Provider Addresses for Unknown Individual

  • Center Parkway, Kennewick Park, Kennewick, Benton County, Washington, 99338, United States

    KENNEWICK, WA 993368100

    Phone: (509) 734-2092

    Fax: (509) 734-1481

    Mailing address matches the actual address.

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 99336)

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Provider's Procedures

Unknown Individual performs procedures in Psychiatric/Mental Health Nurse Practitioner. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERWA90833Psychotherapy, 30 minutes with patient and/or family member11639

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1861458796 for Unknown Individual.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Psychiatric/Mental Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Kennewick, Washington. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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