One provider matched this enrollment ID.
Enrollment ID I20071008000548 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
- I20071008000548Nurse PractitionerKY
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
- 597243KY· Issued by WELLCARE
- 363LF0000XKY· Issued by TAXONOMY CODE
- 3002813KY· Issued by NEW LIC # 01-10-11
- 000000612626KY· Issued by ANTHEM
- 363L00000XKY· Issued by TAXONOMY CODE
- 7100090880KY· Issued by MEDICAID ARNP GRP
Medicaid
- 78028131KY
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.