Unknown Individual – Family Nurse Practitioner, NPI 1497911440

Unknown Individual is a healthcare provider. based in Cass lake, Minnesota. specializing in Family Nurse Practitioner. They hold a License No. F 1104211 (TX). The NPI Number for Unknown Individual is 1497911440

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1497911440
Phone
(218) 335-4500
Address
115 6TH ST NE
Deactivation Date
30 April 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 115 6TH ST NE

    SUITE E

    CASS LAKE, MN 566333428

    Phone: (218) 335-4500

    Fax: (218) 335-8219

    Type: Location

  • 68th Avenue Northwest, Cass County, Minnesota, 56633, United States

    CASS LAKE, MN 566339734

    Phone: (218) 335-0050

    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.

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 56633)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1497911440 in the public NPI dataset.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Family Nurse Practitioner is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Cass Lake, Minnesota may find Unknown Individual in results; validate coverage separately.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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