Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1659310274

Unknown Individual is a healthcare provider. based in Detroit lakes, Minnesota. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 091428 (MN). The NPI Number for Unknown Individual is 1659310274

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1659310274
Phone
(218) 844-2300
Address
PO BOX 727
Deactivation Date
22 September 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

  • PO BOX 727

    DETROIT LAKES, MN 565020727

    Phone: (218) 844-2300

    Fax: (218) 844-2444

    Type: Mailing

  • 125, Frazee Street East, Downtown, Detroit Lakes, Becker County, Minnesota, 56501, United States

    DETROIT LAKES, MN 565013501

    Phone: (218) 844-2300

    Fax: (218) 844-2444

    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.

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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 56502)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1659310274.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Detroit Lakes?
Unknown Individual currently maps to Detroit Lakes, Minnesota in this extract.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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