Unknown Individual – Specialist, NPI 1023097557

Unknown Individual is a healthcare provider. based in Saint paul, Minnesota. specializing in Specialist. The NPI Number for Unknown Individual is 1023097557

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1023097557
Phone
Not provided
Address
1965 FORD PKWY
Deactivation Date
26 August 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

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Provider Addresses for Unknown Individual

  • 1965, Ford Parkway, Highland Village, Saint Paul, Ramsey County, Minnesota, 55116, United States

    SAINT PAUL, MN 551161923

    Phone:

    Type: Mailing

  • 113, East Clark Street, Albert Lea, Freeborn County, Minnesota, 56007, United States

    ALBERT LEA, MN 560072420

    Phone: (507) 373-5288

    Type: Location

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 55116)

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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 1023097557.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Other Service Providers in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Saint Paul, Minnesota; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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