Unknown Individual – Physician Assistant, NPI 1922113307

Unknown Individual is a healthcare provider. based in Overland park, Kansas. specializing in Physician Assistant. They hold a License No. 1501121 (KS). The NPI Number for Unknown Individual is 1922113307

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1922113307
Phone
(913) 327-1117
Address
12200 W 106TH ST
Deactivation Date
20 May 2024
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

  • 12200, West 106th Street, Overland Park, Johnson County, Kansas, 66215, United States

    SUITE 210

    OVERLAND PARK, KS 662152300

    Phone: (913) 327-1117

    Type: Location

  • 3828, South Adams Avenue, Sycamore Hills, Independence, Jackson County, Missouri, 64055, United States

    INDEPENDENCE, MO 640553530

    Phone: (816) 838-2264

    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.

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 66215)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1922113307 when you need to reference Unknown Individual in forms, claims, or directories.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Kansas?
You will see Overland Park, Kansas on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1922113307. Always confirm identity and privileges with the practice and licensing boards.

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