One provider matched this enrollment ID.
Enrollment ID I20041220000041 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 7 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
- I20040330001346Certified Registered Nurse Anesthetist (CRNA)AR
- I20041220000041Certified Registered Nurse Anesthetist (CRNA)MO
- I20090928000349Certified Registered Nurse Anesthetist (CRNA)CA
- I20180606002943Certified Registered Nurse Anesthetist (CRNA)KS
- I20200518001154Certified Registered Nurse Anesthetist (CRNA)IL
- I20230907003631Certified Registered Nurse Anesthetist (CRNA)KY
- I20250516001489Certified Registered Nurse Anesthetist (CRNA)IN
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
- 214881IL· Issued by MULTISPECIALTY GROUP PTAN
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.