Unknown Individual – Case Manager/Care Coordinator, NPI 1962612077

Unknown Individual is a healthcare provider. based in Newport, Oregon. specializing in Case Manager/Care Coordinator. The NPI Number for Unknown Individual is 1962612077

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1962612077
Phone
(541) 574-7799
Address
934 SW 11TH ST
Deactivation Date
14 August 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience10
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 934, Southwest 11th Street, Nye Beach, Newport, Lincoln County, Oregon, 97365, United States

    NEWPORT, OR 973654804

    Phone: (541) 574-7799

    Type: Mailing

  • Pacific Coast Highway, Laguna Beach, Orange County, California, 92651, United States

    SOUTH BEACH, OR 973669667

    Phone: (541) 574-5960

    Fax: (541) 867-6548

    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 97365)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1962612077 in the public NPI dataset.
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 specialty?
The listing groups Unknown Individual with Case Manager/Care Coordinator. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Newport, Oregon as a primary anchor for Unknown Individual unless the record lists multiple sites.
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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