One provider matched this enrollment ID.
Enrollment ID I20121026000752 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 6 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
- I20121026000752Certified Registered Nurse Anesthetist (CRNA)IN
- I20140728000017Certified Registered Nurse Anesthetist (CRNA)VA
- I20150629000228Certified Registered Nurse Anesthetist (CRNA)WV
- I20200804001248Certified Registered Nurse Anesthetist (CRNA)SC
- I20210604001229Certified Registered Nurse Anesthetist (CRNA)NY
- I20211022000586Certified Registered Nurse Anesthetist (CRNA)GU
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
- 095200089IN· Issued by MEDICARE PTAN
- 264430F56IN· Issued by MEDICARE PTAN
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.