Unknown Individual – Medical Physician Assistant, NPI 1033108626

Unknown Individual is a healthcare provider. based in Nellis afb, Nevada. specializing in Medical Physician Assistant. The NPI Number for Unknown Individual is 1033108626

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1033108626
Phone
(702) 653-3971
Address
4700 LAS VEGAS BLVD N
Deactivation Date
26 February 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Mike O'Callaghan Military Medical Center, 4700, Las Vegas Boulevard North, Clark County, Nevada, 89191, United States

    NELLIS AFB, NV 891916600

    Phone: (702) 653-3971

    Fax: (702) 653-3622

    Type: Location

  • 6453, Chatterer Street, North Las Vegas, Clark County, Nevada, 89084, United States

    NORTH LAS VEGAS, NV 890842820

    Phone: (702) 839-0166

    Fax: (702) 653-3622

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-02-15 • Largest payer in this snapshot: Novo Nordisk Inc ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$21
View all Open Payments →|Open Payments Risk Radar →

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 89191)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1033108626 — is the standard way to identify this listing.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Medical Physician Assistant is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Nellis Afb, Nevada; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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