Unknown Individual – Nurse Practitioner, NPI 1932216322

Unknown Individual is a healthcare provider. based in Wenatchee, Washington. specializing in Nurse Practitioner. They hold a License No. AP30006696 (WA). The NPI Number for Unknown Individual is 1932216322

Main info

Organization
Inactive
22 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1932216322
Phone
(509) 662-1511
Address
1201 S. MILLER STREET
Deactivation Date
26 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5097873531
Graduation Year
2004 (22 years ago)
PAC ID
2961427349
Group Practice PAC ID
8921919077
Professional Enrollment ID
I20051014000200
Data current as of
19 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

  • Central Washington Hospital, 1201, South Miller Street, Wenatchee, Chelan County, Washington, 98801, United States

    WENATCHEE, WA 98801

    Phone: (509) 662-1511

    Fax: (509) 665-6100

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-02-10 • Largest payer in this snapshot: Merz North America, Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merz North America, Inc.$15
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.

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051014000200INurse PractitionerWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 98801)

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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: 8921919077View full group profile
NameSpecialtyState
Nurse PractitionerWA
-WA
Nurse PractitionerWA
Nurse PractitionerWA
Emergency MedicineWA

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1932216322 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Wenatchee, Washington?
If you are local to Wenatchee, Washington, Unknown Individual may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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