Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1609986017

Unknown Individual is a healthcare provider. based in Bloomfield, Iowa. specializing in Certified Registered Nurse Anesthetist. They hold a License No. D043410 (IA). The NPI Number for Unknown Individual is 1609986017

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1609986017
Phone
(641) 664-3602
Address
PO BOX 54
Deactivation Date
12 March 2026
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

  • ANDARA Gallery, 54, Wilson Road, Bloomfield, Prince Edward County, Central Ontario, Ontario, K0K 1G0, Canada

    BLOOMFIELD, IA 525370054

    Phone: (641) 664-3602

    Fax: (641) 664-3765

    Type: Mailing

  • 505, West Jefferson Street, Bloomfield, Davis County, Iowa, 52537, United States

    BLOOMFIELD, IA 525371515

    Phone: (641) 664-3602

    Fax: (641) 664-3765

    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 52537)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1609986017.
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 services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Bloomfield, Iowa?
If you are local to Bloomfield, Iowa, 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.

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