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One provider matched this enrollment ID.

Enrollment ID I20161122000675 resolves to a single NPI record. Open the full profile for complete detail.

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JH
NPI · 1003079120 · Active
Jennifer Hofstra MD
Internal Medicine · Boise, Idaho
Active
NPI
1003079120
Enrollment ID
I20161122000675
Taxonomy
207R00000X
Type
Practitioner - Hospitalist

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

  • PARVA· Issued by MULTIPLAN
  • PARVA· Issued by AETNA
  • PARVA· Issued by UNITED HEALTH CARE/MAMSI
  • PARVA· Issued by FIRST HEALTH COMMERCIAL/COVENTRY HEALTH/SOUTHERN HEALTH
  • PARVA· Issued by USA MANAGED CARE
  • PARVA· Issued by CORVEL/CORCARE
  • PARVA· Issued by VA PREMIER HEALTH
  • PARVA· Issued by VA HEALTH NETWORK
  • 10060934VA· Issued by OPTIMA HEALTH
  • 407988VA· Issued by ANTHEM BC/BS
  • PARVA· Issued by CIGNA
  • -028VA· Issued by TRICARE/CHAMPUS

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.