Unknown Individual – Family Medicine Physician, NPI 1477514669

Unknown Individual is a healthcare provider. based in Olivia, Minnesota. specializing in Family Medicine Physician. They hold a License No. 31491 (MN). The NPI Number for Unknown Individual is 1477514669

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1477514669
Phone
(320) 523-1460
Address
600 E PARK AVE
Deactivation Date
31 January 2024
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

  • 600, East Park Avenue, Olivia, Renville County, Minnesota, 56277, United States

    OLIVIA, MN 562771370

    Phone: (320) 523-1460

    Fax: (320) 523-1703

    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.

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 56277)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1477514669 if you need a stable reference for Unknown Individual.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Family Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Olivia, Minnesota for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1477514669. Always confirm identity and privileges with the practice and licensing boards.

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