One provider matched this enrollment ID.
Enrollment ID I20040407000556 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Practitioner
- I20040407000556Certified Clinical Nurse Specialist (CNS)OR
- I20190226001332Nurse PractitionerWA
Source: CMS PECOS public enrollment file.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- CD8723OR· Issued by RR MEDICARE GROUP NUMBER
- P00085410OR· Issued by RR MEDICARE PTAN NUMBER
- R0000WFBTVOR· Issued by MEDICARE GROUP PIN NUMBER
- 1407812365OR· Issued by NBMC GROUP NPI NUMBER
- 161133OR· Issued by GROUP NBMC MEDICAID
- 0577260001OR· Issued by DMERC NUMBER
Medicaid
Source: NPPES public registry.
ReferenceAbout Medicare Enrollment IDs
A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.