Unknown Individual – Family Nurse Practitioner, NPI 1841285848

Unknown Individual is a healthcare provider. based in Coon rapids, Minnesota. specializing in Family Nurse Practitioner. They hold a License No. R0974673 (MN). The NPI Number for Unknown Individual is 1841285848

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1841285848
Phone
(612) 659-7111
Address
12900 RIVERDALE DR NW
Deactivation Date
4 June 2026
Data current as of
10 June 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

  • 12900, Riverdale Drive Northwest, Riverdale, Coon Rapids, Anoka County, Minnesota, 55448, United States

    COON RAPIDS, MN 554481063

    Phone: (612) 659-7111

    Type: Location

  • 9650 HOWARD LAKE DR NE

    FOREST LAKE, MN 550258430

    Phone: (651) 464-7989

    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.

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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 55448)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1841285848 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What kind of provider is Unknown Individual?
The page reflects Family Nurse Practitioner for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Coon Rapids, Minnesota because that is what the record indicates for Unknown Individual.
What if Coon Rapids, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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