One provider matched this enrollment ID.
Enrollment ID I20110302000952 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
- I20110302000952Nurse PractitionerFL
- I20200807001142Nurse PractitionerCA
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
- Y09HCFL· Issued by BCBS
- 9179806FL· Issued by AETNA
- P01013935FL· Issued by RAILROAD MCR
- P940602FL· Issued by OPTIMUM
- P0005558FL· Issued by FLORIDA HEALTHCARE PLUS
- P999512FL· Issued by FREEDOM HEATH
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.