Unknown Individual – Family Nurse Practitioner, NPI 1376586743

Unknown Individual is a healthcare provider. based in Wautoma, Wisconsin. specializing in Family Nurse Practitioner. They hold a License No. 2173-033 (WI). The NPI Number for Unknown Individual is 1376586743

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1376586743
Phone
(920) 223-5580
Address
N2898 24TH RD
Deactivation Date
18 December 2025
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

  • North Townline Road, Wautoma, Waushara County, Wisconsin, 54982, United States

    WAUTOMA, WI 549827916

    Phone: (920) 223-5580

    Fax: (920) 223-5592

    Type: Mailing

  • Audiology and Hearing Aid Center, 2700, West 9th Avenue, Oshkosh, Winnebago County, Wisconsin, 54904, United States

    OSHKOSH, WI 549047247

    Phone: (920) 223-5580

    Fax: (920) 223-5592

    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 54982)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1376586743 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Wautoma, Wisconsin as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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