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Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID I20121025000641 resolves to a single NPI record. Open the full profile for complete detail.

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MM
NPI · 1619224771 · Active
Maryam Mostaghni Yazdi Arnp
Family Nurse Practitioner · Lakewood, Washington
Active
NPI
1619224771
Enrollment ID
I20121025000641
Taxonomy
363LF0000X
Type
Practitioner - Nurse Practitioner

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.

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.