Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1699757617

Unknown Individual is a healthcare provider. based in Ballwin, Missouri. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 046338 (MO). The NPI Number for Unknown Individual is 1699757617

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1699757617
Phone
(314) 775-2816
Address
13523 BARRETT PARKWAY DR
Deactivation Date
17 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

  • 13523 BARRETT PARKWAY DR

    SUITE 210

    BALLWIN, MO 630213802

    Phone: (314) 775-2816

    Fax: (314) 775-2821

    Type: Mailing

  • South First Capitol Drive, Saint Charles, Saint Charles County, Missouri, 63303, United States

    SAINT CHARLES, MO 633012844

    Phone: (314) 989-3000

    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.

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 63021)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1699757617 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Ballwin, Missouri; more addresses can appear in NPPES.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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