Unknown Individual – Family Medicine Physician, NPI 1316939135

Unknown Individual is a healthcare provider. based in Soldotna, Alaska. specializing in Family Medicine Physician. They hold a License No. MD3403 (AK). The NPI Number for Unknown Individual is 1316939135

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1316939135
Phone
(907) 262-3119
Address
PO BOX 2949
Deactivation Date
22 November 2022
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

  • PO BOX 2949

    SOLDOTNA, AK 996692949

    Phone: (907) 262-3119

    Fax: (907) 262-9290

    Type: Mailing

  • Marydale Avenue, Soldotna, Kenai Peninsula, Alaska, United States

    SUITE 1

    SOLDOTNA, AK 996697636

    Phone: (907) 262-3119

    Fax: (907) 262-9290

    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 99669)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1316939135 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Soldotna, Alaska.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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