Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1396714432

Unknown Individual is a healthcare provider. based in Williamsport, Pennsylvania. specializing in Certified Registered Nurse Anesthetist. They hold a License No. RN154253L (PA). The NPI Number for Unknown Individual is 1396714432

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1396714432
Phone
Not provided
Address
1201 GRAMPIAN BLVD
Deactivation Date
7 September 2021
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

  • 1201, Grampian Boulevard, Williamsport, Lycoming County, Pennsylvania, 17701, United States

    PO BOX 3127

    WILLIAMSPORT, PA 177011900

    Phone:

    Type: Mailing

  • 777, Rural Avenue, Williamsport, Lycoming County, Pennsylvania, 17701, United States

    WILLIAMSPORT HOSPITAL & MEDICAL CENTER

    WILLIAMSPORT, PA 177013109

    Phone: (570) 321-2385

    Fax: (570) 321-2479

    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 17701)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1396714432.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Williamsport, Pennsylvania.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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