Unknown Individual – Registered Nurse, NPI 1124018858

Unknown Individual is a healthcare provider. based in Fort wayne, Indiana. specializing in Registered Nurse. They hold a License No. 28060840A (IN). The NPI Number for Unknown Individual is 1124018858

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124018858
Phone
(260) 482-8241
Address
1818 CAREW ST
Deactivation Date
24 January 2024
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

  • 1818, Carew Street, Fort Wayne, Allen County, Indiana, 46805, United States

    SUITE 230

    FORT WAYNE, IN 468054788

    Phone: (260) 482-8241

    Fax: (260) 373-4144

    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 46805)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1124018858 when you need to reference Unknown Individual in forms, claims, or directories.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Registered Nurse for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Indiana?
You will see Fort Wayne, Indiana on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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