One provider matched this enrollment ID.
Enrollment ID I20190502000283 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
- I20190502000283Nurse PractitionerCO
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
- 2013010755· Issued by ANCC ID NUMBER
- 28210549AIN· Issued by STATE OF INDIANA, REGISTERED NURSE
- RN.312282-COA1OH· Issued by REGISTERED NURSE CERTIFICATE OF AUTHORITY
- COA.15448-NPOH· Issued by CERTIFIED NURSE PRACTITIONER
- 71004484AIN· Issued by STATE OF INDIANA, APN, PRESCRIPTIVE AUTHORITY
- 71004484BIN· Issued by STATE OF INDIANA CSR, PRESCRIPTIVE AUTHORITY
- RX.15448-EX1OH· Issued by PRESCRIPTIVE AUTHORITY-EXTERNSHIP
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.