One provider matched this enrollment ID.
Enrollment ID I20210830003360 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 3 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
- I20210830003360Nurse PractitionerCO
- I20240820001976Nurse PractitionerNC
- I20240906002224Nurse PractitionerSC
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
- 0175594CO· Issued by COLORADO REGISTERED NURSE LICENSE
- 0996679-NPCO· Issued by ADVANCED PRACTICE NURSE
- 227042CO· Issued by CDE SPECIAL SERVICE PROVIDER
- 364412NC· Issued by REGISTERED NURSE
- 5019545NC· Issued by ADVANCED PRACTICE NURSE
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.