One provider matched this Medicaid ID.
North Dakota Medicaid ID 12644 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
- 10338ND· Issued by NDBS # 10338
- 50209KRND· Issued by MNBS #
- 2000782ND· Issued by MEDICA FARGO #
- 947812ND· Issued by ARAZ #
- 2000781ND· Issued by MEDICA INNOVIS #
- 142338ND· Issued by UCARE #
- DA9011015552ND· Issued by PREF 1 #
- HP38624ND· Issued by HEALTHPARTNERS #
Source: NPPES public registry.
Medicare enrollment
This provider holds 2 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
- I20050808001305Certified Registered Nurse Anesthetist (CRNA)ND
- I20141021000259Certified Registered Nurse Anesthetist (CRNA)MN
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.