Unknown Individual – Critical Care Neonatal Nurse Practitioner, NPI 1124134119

Unknown Individual is a healthcare provider. based in Omaha, Nebraska. specializing in Critical Care Neonatal Nurse Practitioner. They hold a License No. 110362 (NE). The NPI Number for Unknown Individual is 1124134119

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124134119
Phone
Not provided
Address
PO BOX 642117
Deactivation Date
27 December 2023
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

  • Ice Box, Omaha Boulevard, El Paso County, Colorado, 80915, United States

    OMAHA, NE 681648117

    Phone:

    Type: Mailing

  • CHI Health Creighton University Medical Center - Bergan Mercy, 7500, Mercy Road, Omaha, Douglas County, Nebraska, 68124, United States

    OMAHA, NE 681242319

    Phone: (402) 398-6014

    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.

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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 68164)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1124134119 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Critical Care Neonatal Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Nebraska is Unknown Individual registered?
Use Omaha, Nebraska as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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