Unknown Individual – Anesthesiology Physician, NPI 1376645762

Unknown Individual is a healthcare provider. based in Scottsbluff, Nebraska. specializing in Anesthesiology Physician. They hold a License No. 100180 (NE). The NPI Number for Unknown Individual is 1376645762

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1376645762
Phone
(308) 635-7362
Address
TWO WEST 42ND ST
Deactivation Date
14 December 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

Provider Addresses for Unknown Individual

  • TWO WEST 42ND ST

    STE 1500

    SCOTTSBLUFF, NE 693610616

    Phone: (308) 635-7362

    Fax: (308) 635-0426

    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 69361)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1376645762 is assigned to Unknown Individual under the national enumeration system.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Scottsbluff, Nebraska for Unknown Individual; download NPPES for the complete set.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1376645762. Always confirm identity and privileges with the practice and licensing boards.

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