Unknown Individual – Family Nurse Practitioner, NPI 1881967495

Unknown Individual is a healthcare provider. based in Kalkaska, Michigan. specializing in Family Nurse Practitioner. The NPI Number for Unknown Individual is 1881967495

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1881967495
Phone
(231) 258-7500
Address
419 S CORAL ST
Deactivation Date
8 November 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 419 S CORAL ST

    KALKASKA, MI 496462503

    Phone: (231) 258-7500

    Fax: (231) 258-7527

    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.

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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 49646)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1881967495 as the unique 10-digit identifier.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Kalkaska?
Unknown Individual currently maps to Kalkaska, Michigan in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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