Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1205025848

Unknown Individual is a healthcare provider. based in Kearney, Nebraska. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. 110912 (NE). The NPI Number for Unknown Individual is 1205025848

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1205025848
Phone
(308) 234-6203
Address
3811 CENTRAL AVE
Deactivation Date
6 November 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

  • 3811, Central Avenue, Kearney, Buffalo County, Nebraska, 68847, United States

    SUITE B-1

    KEARNEY, NE 688478173

    Phone: (308) 234-6203

    Fax: (308) 234-3103

    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 68847)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1205025848?
NPI 1205025848 belongs to Unknown Individual; compare other details if you need extra assurance.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Kearney?
Unknown Individual currently maps to Kearney, Nebraska in this extract.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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