Unknown Individual – Registered Nurse, NPI 1770632929

Unknown Individual is a healthcare provider. based in Sycamore, Illinois. specializing in Registered Nurse. They hold a License No. 84960-030 (WI). The NPI Number for Unknown Individual is 1770632929

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1770632929
Phone
Not provided
Address
PO BOX 474
Deactivation Date
17 April 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 474, Sycamore Springs Place, Sycamore Spring, Mountain Home, Baxter County, Arkansas, 72653, United States

    SYCAMORE, IL 601780474

    Phone:

    Type: Mailing

  • Ascension Good Samaritan Hospital, 601, South Center Avenue, Merrill, Town of Scott, Lincoln County, Wisconsin, 54452, United States

    MERRILL, WI 544523404

    Phone: (715) 536-5511

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $1,461.

Total Amount is formed as General ($1,461) + Research ($0) + Ownership ($0) = $1,461.

Last reported payment date: 2023-02-28 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,461).

Total Amount

$1,461

General + Research + Ownership

Payments

4

Total payment records

General Amount

$1,461

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$1,461
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.

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 60178)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1770632929?
NPI 1770632929 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
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 Registered Nurse. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Sycamore, Illinois as the reference point for Unknown Individual, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.