One provider matched this Medicaid ID.
Maryland Medicaid ID NPI resolves to a single NPI record. Open the full profile for complete detail.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Medicaid
- NPIMD
Source: NPPES public registry.
Medicare enrollment
This provider holds 9 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
- I20200624000307Nurse PractitionerMD
- I20250115002537Nurse PractitionerFL
- I20250416000434Nurse PractitionerWV
- I20250908000278Nurse PractitionerDC
- I20251231000939Nurse PractitionerPA
- I20260121001846Nurse PractitionerOH
- I20260128002390Nurse PractitionerMO
- I20260204000700Nurse PractitionerNJ
- I20260304000297Nurse PractitionerNM
Source: CMS PECOS public enrollment file.
ReferenceAbout state Medicaid identifiers
State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.