Unknown Individual – Primary Care Nurse Practitioner, NPI 1124105143

Unknown Individual is a healthcare provider. based in Rochester, Minnesota. specializing in Primary Care Nurse Practitioner. They hold a License No. NP0946106 (MN). The NPI Number for Unknown Individual is 1124105143

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124105143
Phone
(507) 288-8544
Address
300 3RD AVE SE
Deactivation Date
26 February 2026
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

  • Perry Law Office, 300, 3rd Ave Southeast, Rochester, Olmsted County, Minnesota, 55904, United States

    SUITE 405

    ROCHESTER, MN 559044619

    Phone: (507) 288-8544

    Fax: (507) 288-8545

    Type: Location

  • Rochester Family Medicine Clinic, 40, 16th Street Southeast, Rochester, Olmsted County, Minnesota, 55904, United States

    ROCHESTER, MN 55904

    Phone: (507) 288-8544

    Fax: (507) 288-8545

    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.

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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 55904)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1124105143 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Rochester?
Unknown Individual currently maps to Rochester, Minnesota in this extract.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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