One provider matched this enrollment ID.
Enrollment ID I20040909001073 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
- I20040909001073Nurse PractitionerMD
- I20170301000176Nurse PractitionerDC
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.
Medicaid
Other
- 500028049MD· Issued by RR MEDICARE
- 120295MD· Issued by JHHC PROVIDER NUMBER
- 617959-05MD· Issued by CAREFIRST BCBS OF MARYLAND
- 1968539MD· Issued by AETNA HMO
- 7605-0059MD· Issued by CAREFIRST BLUECHOICE
- 9946204MD· Issued by AETNA PPO
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.