One provider matched this enrollment ID.
Enrollment ID I20051130000711 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds a Medicare enrollment 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
- I20051130000711Nurse PractitionerWV
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
- 02639382WV· Issued by ANCC
- 001710221WV· Issued by MTN STATE BC/BS PAY TO 1
- 35192WV· Issued by WV APRN, BC LICENSE
- RXA1276WV· Issued by WV PRESCRIPTIVE PRIVILEGE
- 001768018WV· Issued by MTN STATE BC/BS SERVICE
- 00349930WV· Issued by ANA WV NURSES ASSOC
- 734583WV· Issued by NCPPO
- 500014647WV· Issued by RAILROAD MEDICARE
- FQ35192WV· Issued by HEALTH PLAN PROVIDER
- 001967354WV· Issued by MTN STATE BC/BS PAY TO 2
- 1047478WV· Issued by BRICKSTREET WORKERS COMP
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.