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Medicare enrollment lookup

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Enrollment ID I20180606002002 resolves to a single NPI record. Open the full profile for complete detail.

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SA
NPI · 1962907618 · Active
Staci Alam Nurse Practitioner
Family Nurse Practitioner · Mobile, Alabama
Active
NPI
1962907618
Enrollment ID
I20180606002002
Taxonomy
363LF0000X
Type
Practitioner - Nurse Practitioner

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

  • 512-11027AL· Issued by BCBS
  • Z54594AL· Issued by VIVA HEALTH
  • A00613AAL· Issued by MEDICARE
  • 512-10626AL· Issued by BCBS
  • P02048503AL· Issued by RR MEDICARE
  • 6775695AL· Issued by UNITED HEALTHCARE
  • 6812694AL· Issued by AETNA

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.