Form preview

Get the free Provider /Organization NPI Submission

Get Form
This document is for submitting National Provider Identifier (NPI) information for providers or organizations to various payers, requiring specific details from the submitter and the provider.
We are not affiliated with any brand or entity on this form
4,4
98,753 Reviews
4,5
11,210 Reviews
4,6
715 Reviews
4,6
789 Reviews

Get, Create, Make and Sign provider organization npi submission

Edit
Edit your provider organization npi submission form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your provider organization npi submission form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit provider organization npi submission online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use the services of a skilled PDF editor, follow these steps below:
1
Set up an account. If you are a new user, click Start Free Trial and establish a profile.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit provider organization npi submission. Rearrange and rotate pages, insert new and alter existing texts, add new objects, and take advantage of other helpful tools. Click Done to apply changes and return to your Dashboard. Go to the Documents tab to access merging, splitting, locking, or unlocking functions.
4
Save your file. Select it from your list of records. Then, move your cursor to the right toolbar and choose one of the exporting options. You can save it in multiple formats, download it as a PDF, send it by email, or store it in the cloud, among other things.
It's easier to work with documents with pdfFiller than you can have believed. You can sign up for an account to see for yourself.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
Learn more about security & compliance
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out provider organization npi submission

Illustration

How to fill out Provider /Organization NPI Submission

01
Gather necessary information: Collect details such as the legal name, business address, and tax identification number of the provider or organization.
02
Determine the NPI type: Decide if you are filling out the form for an individual provider or an organization.
03
Access the NPI application: Go to the National Plan and Provider Enumeration System (NPPES) website to access the online application.
04
Complete the application: Fill in all required fields including practice location, credentials, and demographic information accurately.
05
Review the application: Carefully check all entered information for errors or omissions.
06
Submit the application: Submit the form electronically through the NPPES portal.
07
Receive your NPI: Wait for the NPI to be assigned, which may take several days; check your email for confirmation.

Who needs Provider /Organization NPI Submission?

01
Healthcare providers including doctors, nurses, and therapists.
02
Organizations such as hospitals, clinics, and group practices.
03
Billing companies and health insurance payers.
04
Any entity that provides healthcare services and requires reimbursement from Medicare or Medicaid.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
24 Votes

People Also Ask about

An NPI is a 10-digit number that is assigned to an individual or a business entity used for billing purposes. It is different from a state license — note that providers must also maintain a state license in order to legally practice.
The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty.
Payment history. Social Security numbers. Tax return information. Name, address, phone number on an application for financial aid.
All Individuals and Organizations who meet the definition of health care provider as described at 45 CFR 160.103 are eligible to obtain a National Provider Identifier, or NPI. If you are a HIPAA covered provider or if you are a health care provider/supplier who bills Medicare for your services, you need an NPI.
If you try to submit a claim without an NPI number, it will probably be denied. And that doesn't just go for Medicare claims — it's also the rule for private payers. So, if you want to get paid for your services, you better get one of these 10-digit identifiers ASAP.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Provider /Organization NPI Submission is the process through which healthcare providers and organizations submit their National Provider Identifier (NPI) information to the National Plan and Provider Enumeration System (NPPES) to obtain a unique identifier for billing and administrative purposes.
Healthcare providers, including individuals and organizations such as hospitals, clinics, physicians, and other health service providers, are required to file Provider /Organization NPI Submission to receive a unique NPI number for their practices.
To fill out the Provider /Organization NPI Submission, providers must complete an application form, either online via the NPPES website or through a paper form. The form requires information including the provider's name, address, tax identification number, and other relevant details.
The purpose of Provider /Organization NPI Submission is to standardize the identification of healthcare providers and organizations in the healthcare system, facilitating efficient claims processing, billing, and reducing administrative burdens.
The information that must be reported includes the provider's legal name, business address, taxonomy codes, Social Security number or Employer Identification Number (EIN), and any other relevant details that define the provider's or organization's qualifications and services.
Fill out your provider organization npi submission online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview

Provider Organization Npi Submission is not the form you're looking for?Search for another form here.

Related Features

Correct Word in the Roommate Agreement Template with ease
Correct Word in the Fitness Services Proposal Template with ease
Correct Word in the Dietary Requirements with ease
Correct Word in the Camper Bill Of Sale with ease
Correct Word in the Vacation Bible School Registration Confirmation Letter with ease

Relevant keywords

NPI Submission Provider Information Health Services Insurance Payers Healthcare Providers Submission Form Minnesota Provider Number Credentialing Healthcare Administration

Related Forms

Form preview
2013 Land Management Yearly Form Subpops - plantsofconcern
Plants of concern land management form 2013 part 1: management in the past year subpopulations
Fill Now
Form preview
List of changes to pharmacies - eastsussexjsnaorguk - eastsussexjsna o
List of changes to pharmacies changes as at nd 2 may 2015 old details new
Fill Now
Form preview
Formulario de inscripcion - The Arc of Greater Houston
The arc hora de registro phone 7139571600 fax 7139571699.aogh.org tech de la members: unique por
Fill Now
Form preview
TV30 for great gardening tips with
June 2010 serving you since 1955 981 alden lane, livermore, ca .aldenlane.com (925 4470280 announcements
Fill Now
Form preview
TOURNAMENT HOSTING APPLICATION - bf1bbteammaniabbnetb - f1 teammania
192 east bay street, suite 301 charleston, sc 29401 email: tournament usclubsoccer.org fax: (843 6144146
Fill Now
Form preview
Fort Scott National Historic Site Geologic Resources Inventory
National park service u.s. department of the interior geologic resources division fort scott national historic
Fill Now
Form preview
Evolve RealtyHome
Suite 2f, level 2, 1c grand avenue rose hill, nsw 2142 web: .evolverealty.com.au leasing team:
Fill Now
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.