One provider matched this Medicaid ID.
North Carolina Medicaid ID 5920366 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.
Other
- NC7241ANC· Issued by MEDICARE
- 172W0NC· Issued by BLUE CROSS BLUE SHILED OF NC
- 252985NC· Issued by MEDCOST, LLC
Source: NPPES public registry.
Medicare enrollment
This provider holds 30 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
- I20130904000172PsychiatryCA
- I20241104001020Family PracticeTX
- I20250605000297Family PracticePA
- I20250609000565Family PracticeIL
- I20250613003052Family PracticeAL
- I20250619000257Family PracticeKY
- I20250624000919Family PracticeGA
- I20250701001553Family PracticeNJ
- I20250701002487Family PracticeMD
- I20250701003198Family PracticeCO
- I20250701003970Family PracticeMS
- I20250702002532Family PracticeMI
- I20250707002414Family PracticeWI
- I20250709001677General PracticeAZ
- I20250711002926Family PracticeKS
- I20250714001153Family PracticeLA
- I20250714003448Family PracticeNE
- I20250728003845Family PracticeFL
- I20250730004184Family PracticeNV
- I20250730004323Family PracticeUT
- I20250731001317Family PracticeTN
- I20250808000912Family PracticeVA
- I20250811003782Family PracticeIA
- I20250812000990Family PracticeMO
- I20250819001605Family PracticeMT
- I20250916004113Family PracticeMN
- I20251016003762Family PracticeID
- I20260123002488General PracticeWA
- I20260123003056General PracticeIN
- I20260226003173General PracticeOH
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.