How Do You Obtain a Provider Number?


Quick Answer

To obtain a national provider number, or NPI, download form CMS-10114 from Centers for Medicare and Medicaid Services website, and fill in the form according to the detailed instructions, states the Houston Chronicle. Alternatively, visit the National Plan and Provider Enumeration System website, and apply.

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Full Answer

To complete the application online, first create a profile on the National Plan and Provider Enumeration system, NPPES, website, according to the Houston Chronicle. NPPES doesn't allow resumption of data entry, so be sure to familiarize with any terms and have all required details before starting the process. Required information for individual providers includes date of birth, contact information and state security license details. You have to give your provider name, employer identification number and other necessary information if you are an organization provider.

Mail or call the NPI enumerator via 800-465-3203 to request a paper application, notes the Houston Chronicle. Fill the application form, and return it to P.O. Box 6059, Fargo, ND 58108-6059. Alternatively ask an Electronic File Interchange organization to apply for provider identifier on your behalf.

A national provider number is a unique 10-digit code that the Centers for Medicare and Medicaid Services issues to health care providers that are covered under HIPAA regulations, states the Houston Chronicle. The Centers for Medicare and Medicaid Services requires HIPAA covered providers to use the number in all standard transactions.

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