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Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID I20120920000085 resolves to a single NPI record. Open the full profile for complete detail.

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KM
NPI · 1174830111 · Active
Karen Mcclary Pt
Physical Therapist · Las Cruces, New Mexico
Active
NPI
1174830111
Enrollment ID
I20120920000085
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

  • 03339MCWA· Issued by REGENCE
  • 0333MCWA· Issued by REGENCE
  • 0334MCWA· Issued by REGENCE
  • 1174830111WA· Issued by DSHS
  • 0270986WA· Issued by DEPT OF L&I
  • 0336MCWA· Issued by REGENCE
  • 0270990WA· Issued by DEPT OF L&I
  • 0270993WA· Issued by DEPT OF L&I
  • 0341MCWA· Issued by REGENCE
  • P00893794WA· Issued by RAILROAD MEDICARE
  • 0332MCWA· Issued by REGENCE
  • 0335MCWA· Issued by REGENCE
  • 0271004WA· Issued by DEPT OF L&I
  • 0338MCWA· Issued by REGENCE
  • 0340MCWA· Issued by REGENCE

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.