One provider matched this enrollment ID.
Enrollment ID I20170520000098 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 5 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
- I20060301000471Physician AssistantTN
- I20100629000231Physician AssistantVA
- I20170417002142Physician AssistantGA
- I20170520000098Physician AssistantFL
- I20250918000543Physician AssistantKY
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.
Medicaid
Other
- 3370172TN· Issued by MEDICARE PTAN
- 3664283TN· Issued by MEDICARE PTAN
- 3726561TN· Issued by MEDICARE PTAN
- 36642831TN· Issued by MEDICARE PTAN
- 4116090TN· Issued by BCBS OF TENNESSEE
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.