Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1104891530

Unknown Individual is a healthcare provider. based in Hutchinson, Kansas. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 54203 (KS). The NPI Number for Unknown Individual is 1104891530

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104891530
Phone
(620) 664-6761
Address
1701 E 23RD AVE
Deactivation Date
19 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

  • Hutchinson Regional Medical Center, 1701, East 23rd Avenue, Hutchinson, Reno County, Kansas, 67502, United States

    HUTCHINSON, KS 675021105

    Phone: (620) 664-6761

    Type: Location

  • 30, Tomahawk Road, Hutchinson, Reno County, Kansas, 67502, United States

    HUTCHINSON, KS 675022935

    Phone:

    Type: Mailing

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 67502)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1104891530 for Unknown Individual.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Certified Registered Nurse Anesthetist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Hutchinson, Kansas. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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