One provider matched this enrollment ID.
Enrollment ID I20171120000002 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 10 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
- I20161006000665Certified Registered Nurse Anesthetist (CRNA)MO
- I20170809002733Certified Registered Nurse Anesthetist (CRNA)TN
- I20171120000002Certified Registered Nurse Anesthetist (CRNA)WI
- I20200127000362Certified Registered Nurse Anesthetist (CRNA)LA
- I20200204001333Certified Registered Nurse Anesthetist (CRNA)IL
- I20201016001905Certified Registered Nurse Anesthetist (CRNA)IA
- I20230109002252Certified Registered Nurse Anesthetist (CRNA)IN
- I20250206002370Certified Registered Nurse Anesthetist (CRNA)TX
- I20250721002427Certified Registered Nurse Anesthetist (CRNA)AR
- I20250820003291Certified Registered Nurse Anesthetist (CRNA)AL
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
- 74007089KY
Other
- P00755571KY· Issued by RAIL ROAD MEDICARE
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.