One provider matched this enrollment ID.
Enrollment ID O20040402000663 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.
Part A Provider
- O20070524000677Critical Access HospitalWI
- O20220721001953Critical Access HospitalWI
Part B Supplier
- O20040402000663Clinic/Group PracticeWI
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
- 3901326WI· Issued by MEDICA
- 526491042258WI· Issued by PREFERRED ONE
- 1404HSPMN· Issued by BLUE CROSS MN UB
- 300422MN· Issued by UCARE OF MN UB
- 197WI· Issued by GROUP HEALTH MEDICAL ASST
- 400078MN· Issued by UCARE OF MN PRO
- 5025337WI· Issued by SELECT CARE
- 05305SPMN· Issued by BLUE CROSS OF MN PRO
- 836247500MN· Issued by MINNESOTA MA
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.