One provider matched this enrollment ID.
Enrollment ID I20191016001981 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 5 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
- I20061012000097Nurse PractitionerMI
- I20191016001981Nurse PractitionerIN
- I20231207000945Nurse PractitionerOH
- I20240213002170Nurse PractitionerNY
- I20240221001050Nurse PractitionerWI
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
- 5008770770MI· Issued by BLUE CROSS BLUE SHIELD
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.