Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1275525982

Unknown Individual is a healthcare provider. based in New prague, Minnesota. specializing in Certified Registered Nurse Anesthetist. They hold a License No. R 061258-2 (MN). The NPI Number for Unknown Individual is 1275525982

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1275525982
Phone
Not provided
Address
1005 COLUMBUS AVE SE
Deactivation Date
24 January 2022
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

  • 1005 COLUMBUS AVE SE

    NEW PRAGUE, MN 56071

    Phone:

    Type: Mailing

  • 8990, Springbrook Drive Northwest, Parkside, Coon Rapids, Anoka County, Minnesota, 55433, United States

    STE 250

    COON RAPIDS, MN 554335850

    Phone: (763) 398-0099

    Fax: (763) 398-0124

    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.

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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 56071)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1275525982.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to New Prague, Minnesota?
If you are local to New Prague, Minnesota, Unknown Individual may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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