Unknown Individual – Advanced Practice Midwife, NPI 1912924622

Unknown Individual is a healthcare provider. based in Cheyenne, Wyoming. specializing in Advanced Practice Midwife. They hold a License No. 22127.325 (WY). The NPI Number for Unknown Individual is 1912924622

Main info

Organization
Inactive
22 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1912924622
Phone
(307) 634-5216
Address
2301 HOUSE AVE
Deactivation Date
2 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3076345216
Graduation Year
2004 (22 years ago)
PAC ID
0345283586
Group Practice PAC ID
9537142963
Professional Enrollment ID
I20050608000350
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

  • Cheyenne Cardiology, 2301, House Avenue, Cheyenne, Laramie County, Wyoming, 82001, United States

    SUITE 400

    CHEYENNE, WY 820013176

    Phone: (307) 634-5216

    Fax: (307) 638-6675

    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 82001)

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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: 9537142963View full group profile
NameSpecialtyState
-WY
-WY
O B S T E T R I C S/ G Y N E C O L O G YCO
Nurse PractitionerWY
O B S T E T R I C S/ G Y N E C O L O G YNE
-WY
O B S T E T R I C S/ G Y N E C O L O G YWY
O B S T E T R I C S/ G Y N E C O L O G YWY
O B S T E T R I C S/ G Y N E C O L O G YTX
Nurse PractitionerWY

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1912924622.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Cheyenne, Wyoming in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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