Unknown Individual – Family Medicine Physician, NPI 1669452520

Unknown Individual is a healthcare provider. based in Alexandria, Minnesota. specializing in Family Medicine Physician. They hold a License No. 17814 (MN). The NPI Number for Unknown Individual is 1669452520

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1669452520
Phone
(320) 763-5123
Address
610 30TH AVE WEST
Deactivation Date
9 May 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

  • Alexandria Clinic, 610, 30th Avenue West, Mobile Park Estates, Alexandria, Douglas County, Minnesota, 56308, United States

    ALEXANDRIA CLINIC PA

    ALEXANDRIA, MN 56308

    Phone: (320) 763-5123

    Fax: (320) 763-7883

    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 56308)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1669452520 as the unique 10-digit identifier.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Alexandria?
Public fields place Unknown Individual around Alexandria, Minnesota. Always confirm the exact site before visiting.
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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