Unknown Individual – Family Medicine Physician, NPI 1669480372

Unknown Individual is a healthcare provider. based in Paynesville, Minnesota. specializing in Family Medicine Physician. They hold a License No. MN19757 (MN). The NPI Number for Unknown Individual is 1669480372

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1669480372
Phone
(320) 243-3779
Address
200 W 1ST ST
Deactivation Date
5 March 2026
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

Loading map...

Provider Addresses for Unknown Individual

  • CentraCare Health – Paynesville, 200, West 1st Street, Paynesville, Stearns County, Minnesota, 56362, United States

    PAYNESVILLE, MN 563621445

    Phone: (320) 243-3779

    Type: Location

  • 29011, Dorchester Lane, Paynesville Township, Stearns County, Minnesota, 56362, United States

    PAYNESVILLE, MN 563629324

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 56362)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1669480372.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Paynesville, Minnesota?
If you are local to Paynesville, Minnesota, Unknown Individual may be relevant to your search.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

JULIE KAY YOUNGS (MD)

Family Medicine Physician
CentraCare Health – Paynesville, 200, West 1st Street, Paynesville, Stearns County, Minnesota, 56362, United States
NPI: 1538136882

DR. JANE MARIE PETERSON (MD)

Family Medicine Physician
CentraCare Health – Paynesville, 200, West 1st Street, Paynesville, Stearns County, Minnesota, 56362, United States
NPI: 1821057662

DR. LAWRENCE GORDON STRATE (M.D.,)

Family Medicine Physician
CentraCare Health – Paynesville, 200, West 1st Street, Paynesville, Stearns County, Minnesota, 56362, United States
NPI: 1124052782

DR. TIMOTHY L MALLING (M.D)

Family Medicine Physician
CentraCare Health – Paynesville, 200, West 1st Street, Paynesville, Stearns County, Minnesota, 56362, United States
NPI: 1548277668

DR. RANDALL ZIMMERMAN (M.D.)

Family Medicine Physician
200 W 1ST ST
NPI: 1821005638

DR. ROBERT N GARDNER (M.D.)

Family Medicine Physician
CentraCare Health – Paynesville, 200, West 1st Street, Paynesville, Stearns County, Minnesota, 56362, United States
NPI: 1003824731

DR. MARIOLA Z KRUK-CZAPIEWSKA (M.D.)

Family Medicine Physician
CentraCare Health – Paynesville, 200, West 1st Street, Paynesville, Stearns County, Minnesota, 56362, United States
NPI: 1306948518

KURT ALAN HABBEN (M.D.)

Family Medicine Physician
CentraCare Health – Paynesville, 200, West 1st Street, Paynesville, Stearns County, Minnesota, 56362, United States
NPI: 1972794865

CHRISTOPHER ANDERSON (MD)

Family Medicine Physician
200 W 1ST ST
NPI: 1447679188