One provider matched this enrollment ID.
Enrollment ID I20061002000637 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
- I20061002000637Nurse PractitionerIL
- I20141212000048Nurse PractitionerIA
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
- 97792· Issued by WELLMARK BC/BS
- 64903· Issued by IOWA HEALTH SOLUTIONS
- 4796890024· Issued by DMERC
- IL0113· Issued by JOHN DEERE HEALTH PLAN
- P01371975IL· Issued by RR MEDICARE
- 048919· Issued by HEALTH ALLIANCE
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.