One provider matched this enrollment ID.
Enrollment ID I20171122000430 resolves to a single NPI record. Open the full profile for complete detail.
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
- I20171122000430Certified Registered Nurse Anesthetist (CRNA)TX
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
- P00285225TN· Issued by MEDICARE TRAVELERS
- P01938569TX· Issued by MEDICARE RAIL ROAD
- 4121475TN· Issued by BLUECARE
- 616376YQ8ATX· Issued by MEDICARE
- 723877TX· Issued by MEDICARE
- 75-0818167-015TX· Issued by TRICARE
- 4121475TN· Issued by BLUE CROSS
- P02136788TX· Issued by MEDICARE RAIL ROAD
- 8HB331TX· Issued by BCBS
- 100050404TN· Issued by PHP TENNCARE
- 8JN057TX· Issued by BCBS
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.