One provider matched this enrollment ID.
Enrollment ID I20220103000474 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
- I20220103000474Nurse PractitionerTX
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
- 44624· Issued by SIOUX VALLEY HEALTH PLAN
- 4995122SD· Issued by BCBS SD (WELLMARK)
- 01-19363· Issued by MEDICA
- 132685· Issued by UCARE
- 693G1KIMN· Issued by BCBS MN
- 1042921· Issued by PREFERRED ONE
- 2315537· Issued by AMERICA'S PPO (ARAZ)
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.