Unknown Individual – Family Medicine Physician, NPI 1386605863

Unknown Individual is a healthcare provider. based in Winona, Minnesota. specializing in Family Medicine Physician. They hold a License No. 21931 (WI). The NPI Number for Unknown Individual is 1386605863

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1386605863
Phone
(507) 454-5050
Address
855 MANKATO AVE
Deactivation Date
18 November 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Community Memorial Hospital, 855, Mankato Avenue, Sugarloaf, Winona, Winona County, Minnesota, 55987, United States

    WINONA, MN 559874868

    Phone: (507) 454-5050

    Fax: (507) 454-5102

    Type: Mailing

  • 825, Mankato Avenue, Winona, Winona County, Minnesota, 55987, United States

    WINONA, MN 559874866

    Phone: (507) 454-5050

    Fax: (507) 454-5102

    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 55987)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1386605863 is assigned to Unknown Individual under the national enumeration system.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Family Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Winona, Minnesota for Unknown Individual; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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