Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1073595252

Unknown Individual is a healthcare provider. based in Marquette, Michigan. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 4704120583 (MI). The NPI Number for Unknown Individual is 1073595252

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1073595252
Phone
(906) 225-3406
Address
580 W COLLEGE AVE
Deactivation Date
24 May 2021
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

  • Marquette General Hospital, 580, West College Avenue, Marquette, Marquette County, Michigan, 49855, United States

    MARQUETTE, MI 498552705

    Phone: (906) 225-3406

    Fax: (906) 225-3094

    Type: Location

  • 52, Feather Ridge Road, Crossroads, Sands Township, Marquette County, Michigan, 49855, United States

    MARQUETTE, MI 498559427

    Phone: (906) 249-0904

    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 49855)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1073595252.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Marquette, Michigan may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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