One provider matched this Medicaid ID.
New Mexico Medicaid ID 202007057 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
- 134850101TX· Issued by FIRSTCARE COMMERCIAL
- 202007057NM· Issued by PRESBYTERIAN COMMERCIAL
- 75001560NM· Issued by CONSULTEC
- 86400UTX· Issued by HMO BLUE
- 86405UTX· Issued by BC/BS
Medicaid
Source: NPPES public registry.
Medicare enrollment
This provider holds 5 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
- I20060717000227Certified Registered Nurse Anesthetist (CRNA)TX
- I20110330001005Certified Registered Nurse Anesthetist (CRNA)AK
- I20140306002134Certified Registered Nurse Anesthetist (CRNA)WA
- I20160826001799Certified Registered Nurse Anesthetist (CRNA)MA
- I20171219000906Certified Registered Nurse Anesthetist (CRNA)NH
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.