One provider matched this enrollment ID.
Enrollment ID O20200529001108 resolves to a single NPI record. Open the full profile for complete detail.
Medicare enrollment
This provider holds 4 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
- O20070315000503Skilled Nursing FacilityCA
- O20200521000977Critical Access HospitalCA
- O20200529001108Critical Access HospitalCA
Part B Supplier
- O20050216000803Clinic/Group PracticeCA
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
- ZZZM6443ZCA· Issued by BS SNF / SWING PROVIDER #
- 05Z336CA· Issued by MEDICARE CERTIFICATION NUMBER (CCN)/PTAN
- 051336CA· Issued by MEDICARE CERTIFICATION NUMBER (CCN)/PTAN
- 050189A000000CA· Issued by TRAILBLAZER
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.