Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1689634867

Unknown Individual is a healthcare provider. based in Munster, Indiana. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 28166711 (IN). The NPI Number for Unknown Individual is 1689634867

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1689634867
Phone
(219) 934-5300
Address
541 OTIS BOWEN DR
Deactivation Date
22 September 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

  • Otis Bowen Drive, West Lakes, Munster, Lake County, Indiana, 46321, United States

    MUNSTER, IN 463214158

    Phone: (219) 934-5300

    Fax: (219) 934-5389

    Type: Mailing

  • 3080, Windsor Court, Elkhart, Elkhart County, Indiana, 46514, United States

    SUITE B

    ELKHART, IN 465145555

    Phone: (574) 266-7817

    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.

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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 46321)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1689634867.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Munster, Indiana may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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