Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1568427227

Unknown Individual is a healthcare provider. based in Orange park, Florida. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 126294 (FL). The NPI Number for Unknown Individual is 1568427227

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1568427227
Phone
(904) 213-8417
Address
2076 RIVERGATE DR
Deactivation Date
20 April 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

  • 2076 RIVERGATE DR

    ORANGE PARK, FL 320038671

    Phone: (904) 213-8417

    Type: Mailing

  • 2165, Herschel Street, Riverside, Jacksonville, Duval County, Florida, 32204, United States

    JACKSONVILLE, FL 322043819

    Phone: (904) 387-6322

    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.

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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 32003)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1568427227 — is the standard way to identify this listing.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Orange Park, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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