Unknown Individual – Family Medicine Physician, NPI 1205910064

Unknown Individual is a healthcare provider. based in Kearney, Nebraska. specializing in Family Medicine Physician. They hold a License No. 12854 (NE). The NPI Number for Unknown Individual is 1205910064

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1205910064
Phone
(308) 865-2141
Address
PO BOX 670
Deactivation Date
18 February 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Kearney Regional Airport, 5145, Airport Road, Kearney, Buffalo County, Nebraska, 68847, United States

    KEARNEY, NE 68848

    Phone: (308) 865-2141

    Fax: (308) 234-7582

    Type: Mailing

  • Kearney Clinic, 211, West 33rd Street, Kearney, Buffalo County, Nebraska, 68845, United States

    KEARNEY, NE 68845

    Phone: (308) 865-2141

    Fax: (308) 234-7582

    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 68848)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1205910064 for Unknown Individual.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Kearney, Nebraska?
If you are local to Kearney, Nebraska, Unknown Individual may be relevant to your search.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.