Unknown Individual – Family Nurse Practitioner, NPI 1083641674

Unknown Individual is a healthcare provider. based in Grand island, Nebraska. specializing in Family Nurse Practitioner. They hold a License No. 110167 (NE). The NPI Number for Unknown Individual is 1083641674

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1083641674
Phone
(308) 381-2555
Address
3629 W GUENTHER RD
Deactivation Date
22 May 2025
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

  • 3629 W GUENTHER RD

    GRAND ISLAND, NE 688039123

    Phone: (308) 381-2555

    Type: Mailing

  • North Broadwell Avenue, Grand Island, Hall County, Nebraska, 68802, United States

    GRAND ISLAND, NE 688032196

    Phone: (308) 382-3660

    Fax: (308) 389-5184

    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 68803)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1083641674.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Family Nurse Practitioner for Unknown Individual. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Grand Island, Nebraska. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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