Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1801876883

Unknown Individual is a healthcare provider. based in Traverse city, Michigan. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 4704107075 (MI). The NPI Number for Unknown Individual is 1801876883

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1801876883
Phone
(231) 935-5770
Address
4100 PARK FOREST DR
Deactivation Date
21 January 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

  • Copper Ridge Surgery Center, 4100, Park Forest Drive, Copper Ridge, Brookside, Traverse City, Grand Traverse County, Michigan, 49684, United States

    SUITE 210

    TRAVERSE CITY, MI 496847331

    Phone: (231) 935-5770

    Fax: (231) 935-0747

    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 49684)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1801876883; it appears in the national provider directory.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Traverse City, Michigan for Unknown Individual based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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Unknown Individual

Certified Registered Nurse Anesthetist
Park Forest Drive, Brookside, Garfield Township, Grand Traverse County, Michigan, 49684, United States
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Unknown Individual

Certified Registered Nurse Anesthetist
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CHRISTINA DALTON PRYDE (CRNA)

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Copper Ridge Surgery Center, 4100, Park Forest Drive, Copper Ridge, Brookside, Traverse City, Grand Traverse County, Michigan, 49684, United States
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SUSAN M EGGL (CRNA)

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CYNTHIA SUE RAHN (CRNA)

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CHERI L MORIO (CRNA)

Certified Registered Nurse Anesthetist
Copper Ridge Surgery Center, 4100, Park Forest Drive, Copper Ridge, Brookside, Traverse City, Grand Traverse County, Michigan, 49684, United States
NPI: 1649265661

BRUCE A BUCHAN (CRNA)

Certified Registered Nurse Anesthetist
Copper Ridge Surgery Center, 4100, Park Forest Drive, Copper Ridge, Brookside, Traverse City, Grand Traverse County, Michigan, 49684, United States
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THOMAS J. WIGTON (CRNA)

Certified Registered Nurse Anesthetist
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CATHERINE D BUCHAN (CRNA)

Certified Registered Nurse Anesthetist
Copper Ridge Surgery Center, 4100, Park Forest Drive, Copper Ridge, Brookside, Traverse City, Grand Traverse County, Michigan, 49684, United States
NPI: 1164402129