Unknown Individual – Internal Medicine Physician, NPI 1760413439

Internal Medicine Physician

Unknown Individual is a healthcare provider. based in Wasilla, Alaska. specializing in Internal Medicine Physician. They hold a License No. 5285 (AK). The NPI Number for Unknown Individual is 1760413439

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1760413439

Phone

(907) 376-8938

Address

950 BOGARD RD

Deactivation Date

12 August 2023

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

950, East Bogard Road, Wasilla, Matanuska-Susitna, Alaska, 99654, United States
SUITE 228
WASILLA, AK 996547105
Phone: (907) 376-8938
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 99654)

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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 1760413439 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.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.

Is Unknown Individual tied to Wasilla, Alaska?

If you are local to Wasilla, Alaska, 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.