Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1790749919

Unknown Individual is a healthcare provider. based in Ames, Iowa. specializing in Certified Registered Nurse Anesthetist. They hold a License No. D062225 (IA). The NPI Number for Unknown Individual is 1790749919

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790749919
Phone
(515) 239-2011
Address
1111 DUFF AVENUE
Deactivation Date
27 November 2025
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

Loading map...

Provider Addresses for Unknown Individual

  • Mary Greeley Medical Center, 1111, Duff Avenue, Ames, Story County, Iowa, 50019, United States

    AMES, IA 50010

    Phone: (515) 239-2011

    Type: Location

  • Candlewood Church, 8701, Pacific Street, Omaha, Douglas County, Nebraska, 68114, United States

    OMAHA, NE 681270015

    Phone: (402) 397-5462

    Fax: (402) 397-9895

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 50010)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1790749919.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Ames, Iowa in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

MR. DAVID R. AUSTIN (CRNA)

Certified Registered Nurse Anesthetist
Stone Brooke Road, Ames, Story County, Iowa, 50010, United States
NPI: 1033116090

DALE L ALTHAUS (CRNA)

Certified Registered Nurse Anesthetist
Candlewood Church, 8701, Pacific Street, Omaha, Douglas County, Nebraska, 68114, United States
NPI: 1023072220

KAYLA LEA CAMPBELL (CRNA)

Certified Registered Nurse Anesthetist
512, River Oak Drive, Overland Heights, Ames, Story County, Iowa, 50010, United States
NPI: 1497868152

ANESTHESIA ASSOCIATES OF CENTRAL IOWA PC

Certified Registered Nurse Anesthetist
Candlewood Church, 8701, Pacific Street, Omaha, Douglas County, Nebraska, 68114, United States
NPI: 1760563308

JACOB MATTHEW MILLER (CRNA)

Certified Registered Nurse Anesthetist
2405 N DAKOTA AVE
NPI: 1992110498