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Medicare enrollment lookup

One provider matched this enrollment ID.

Enrollment ID I20180918001089 resolves to a single NPI record. Open the full profile for complete detail.

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SR
NPI · 1710093216 · Active
Susan Rogers Anp
Nurse Practitioner, Pediatrics · Bryan, Texas
Active
NPI
1710093216
Enrollment ID
I20180918001089
Taxonomy
363LP0200X
Type
Order And Referring Only - 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.

Order and Referring Only

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

  • 1649265646TX· Issued by NPI CLINIC B
  • 741715140TX· Issued by TAX ID
  • 1821185299TX· Issued by NPI AGENCY
  • 231641TX· Issued by TEXAS BOARD NURSING

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.