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Medicare enrollment lookup

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Enrollment ID I20120118000000 resolves to a single NPI record. Open the full profile for complete detail.

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KC
NPI · 1114935301 · Active
Krista Clark P.T.
Physical Therapist · Midway, Utah
Active
NPI
1114935301
Enrollment ID
I20120118000000
Taxonomy
225100000X
Type
Practitioner - Physical Therapist In Private Practice

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

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

  • 67054UT· Issued by PEHP
  • 64-00532UT· Issued by UNITEDHEALTHCARE
  • 199209UT· Issued by ALTIUSHEALTH ADMINISTRATO
  • 11618724000001UT· Issued by BCBS REGENCE OF UTAH

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.