Unknown Individual – Family Nurse Practitioner, NPI 1679979934

Unknown Individual is a healthcare provider. based in Decorah, Iowa. specializing in Family Nurse Practitioner. They hold a License No. A122274 (IA). The NPI Number for Unknown Individual is 1679979934

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1679979934
Phone
(563) 382-2911
Address
901 MONTGOMERY ST
Deactivation Date
13 September 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 901 MONTGOMERY ST

    DECORAH, IA 521012325

    Phone: (563) 382-2911

    Fax: (563) 387-3102

    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 52101)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1679979934 is assigned to Unknown Individual under the national enumeration system.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Decorah, Iowa because that is what the record indicates for Unknown Individual.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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