One provider matched this Medicaid ID.
New Mexico Medicaid ID 64180379 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
- 64180379NM
Source: NPPES public registry.
Medicare enrollment
This provider holds 8 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
- I20091005000542Certified Registered Nurse Anesthetist (CRNA)NM
- I20170316001303Certified Registered Nurse Anesthetist (CRNA)MA
- I20180305000471Certified Registered Nurse Anesthetist (CRNA)MD
- I20200331000660Certified Registered Nurse Anesthetist (CRNA)IN
- I20220504000507Certified Registered Nurse Anesthetist (CRNA)TX
- I20230717000864Certified Registered Nurse Anesthetist (CRNA)NY
- I20231211001050Certified Registered Nurse Anesthetist (CRNA)AZ
- I20260225003516Certified Registered Nurse Anesthetist (CRNA)KY
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.