Unknown Individual – Neonatal Nurse Practitioner, NPI 1811952641

Unknown Individual is a healthcare provider. based in Saint cloud, Minnesota. specializing in Neonatal Nurse Practitioner. They hold a License No. R105679-4 (MN). The NPI Number for Unknown Individual is 1811952641

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1811952641
Phone
(320) 252-5131
Address
1200 6TH AVE N
Deactivation Date
8 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1200, 6th Avenue North, St. Cloud, Stearns County, Minnesota, 56303, United States

    CENTRA CARE CLINIC

    SAINT CLOUD, MN 563032735

    Phone: (320) 252-5131

    Fax: (612) 262-4194

    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 56303)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1811952641.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Neonatal Nurse Practitioner for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Minnesota?
You will see Saint Cloud, Minnesota on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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