Unknown Individual – Family Nurse Practitioner, NPI 1861997058

Unknown Individual is a healthcare provider. based in Lacey, Washington. specializing in Family Nurse Practitioner. They hold a License No. AP60841622 (WA). The NPI Number for Unknown Individual is 1861997058

Main info

Organization
Inactive
8 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1861997058
Phone
(360) 412-1999
Address
7000 COMPASS ST SE
Deactivation Date
6 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2538389700
Graduation Year
2018 (8 years ago)
PAC ID
4789921982
Group Practice PAC ID
9032480942
Professional Enrollment ID
I20190125002143
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 7000, Compass Street Southeast, Lacey, Thurston County, Washington, 98513, United States

    LACEY, WA 985134166

    Phone: (360) 412-1999

    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 98513)

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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: 9032480942View full group profile
NameSpecialtyState
Physician AssistantWA
-WA
Physician AssistantWA
Physician AssistantGA
Physician AssistantWA
-WA
Emergency MedicineIL
Nurse PractitionerAZ
Physician AssistantWA
-WA

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1861997058 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Lacey, Washington for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1861997058. Always confirm identity and privileges with the practice and licensing boards.

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