Form preview

Get the free National Provider Identifier (NPI) Submission Form

Get Form
This document provides information and instructions for health care providers to obtain and submit their National Provider Identifier (NPI) to Blue Cross and Blue Shield of Texas for compliance with
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 national provider identifier npi

Edit
Edit your national provider identifier npi 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 national provider identifier npi form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing national provider identifier npi online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the steps down below to use a professional PDF editor:
1
Check your account. If you don't have a profile yet, click Start Free Trial and sign up for one.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit national provider identifier npi. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Get your file. Select your file from the documents list and pick your export method. You may save it as a PDF, email it, or upload it to the cloud.
It's easier to work with documents with pdfFiller than you can have ever thought. You may try it out for yourself by signing up for an account.

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 national provider identifier npi

Illustration

How to fill out National Provider Identifier (NPI) Submission Form

01
Obtain the NPI application form from the National Plan and Provider Enumeration System (NPPES) website.
02
Provide your personal information including name, date of birth, and social security number.
03
Indicate your provider type and specialty (e.g., physician, nurse practitioner).
04
Fill in practice location details, including address and contact information.
05
List any organizational affiliations, if applicable.
06
Review and ensure all information is accurate and complete.
07
Submit the form electronically via the NPPES system or via mail as per the instructions provided.

Who needs National Provider Identifier (NPI) Submission Form?

01
Healthcare providers including physicians, nurses, dentists, and other practitioners.
02
Healthcare organizations such as hospitals and clinics.
03
Billing agencies and third-party administrators handling claims.
04
Any entity involved in the provision of healthcare services that requires a unique identifier for billing.
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
39 Votes

People Also Ask about

A valid NPI number consists of: 9 numbers, & last 1 check digit. The last Number : NPI numbers can be verified by using the last number, which is known as the Check Digit. Right Format NPI Number example: 1245319599 . Wrong Format NPI Number : 1231231231.
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.
What is an NPI? for Medicare & Medicaid Services (CMS). It is a 10-digit permanent number assigned to a provider and must be used on electronic claim transactions for health care billing and reimbursement.
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers.
The NPI is a 10-digit number that will be used to identify you to your health care partners, including all payers, in all HIPAA standard transactions.
Following are examples of NPI that may be obtained in connection with the delivery of a financial product or service: Account balances. ACH numbers. Bank account numbers.
The National Provider Identifier (NPI) is the 10-digit standard unique health identifier for health care providers. All health care providers may obtain an NPI. Health care providers are individuals or organizations that render health care as defined at 45 C.F.R.

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.

The National Provider Identifier (NPI) Submission Form is a document used by healthcare providers to apply for or update their NPI, which is a unique identification number assigned to healthcare providers in the United States.
All healthcare providers who transmit any health information in electronic form in connection with a HIPAA transaction are required to file the National Provider Identifier (NPI) Submission Form.
To fill out the National Provider Identifier (NPI) Submission Form, providers must provide their personal information including name, date of birth, social security number, practice location, and any relevant licensing or taxonomy information.
The purpose of the National Provider Identifier (NPI) Submission Form is to establish a unique identification for healthcare providers that can be used for billing and administrative purposes, enhancing the efficiency of the healthcare system.
Information that must be reported on the National Provider Identifier (NPI) Submission Form includes the provider's name, address, social security number (or EIN for organizations), date of birth, and details about their healthcare practice and specialty.
Fill out your national provider identifier npi 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

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

Related Features

Finish Logo in the Summer Camp Physical Form with ease
Finish Logo in the Trainee Daily Progress Report with ease
Cancel Trademark in the Indemnification Agreement with ease
Cancel Trademark in the Peer Review Report with ease
Remove Emblem in the Service Invoice Template with ease

Relevant keywords

NPI HIPAA Blue Cross and Blue Shield health care provider provider identifier CMS enrollment health insurance claims compliance

Related Forms

Form preview
zuturf
Mugabe 152 freytag, 18. february 2011 21 eaten aufgalopp mal angenommen, die besitzervereinigung wide eu
Fill Now
Form preview
STATEMENT OF RESPONSIBILITY AND LIABILITY No boat ... - downtownsailin
Statement of responsibility and liabilityno boat belonging to the downtown sailing center may leave the
Fill Now
Form preview
Offline Donation Form - Downtown Sailing Center - downtownsailing
Support me as i sail in the 2015 charm cities ya gotta regatta participants name:
Fill Now
Form preview
Rockville, Maryland Parent/Child Reunification (PCR) ...
Montgomery county public schools rockville, maryland parent/child reunification (pcr) authorization for release of student name
Fill Now
Form preview
NJ State 4-H Championship Horse Show
2023 nj state 4h state horse show packetcounty information & instructions this packet includes master
Fill Now
Form preview
Massachusetts legal forms for subjects A-D
Massachusetts will instructions widow or widower with no children u.s. legal forms, inc. http://.uslegalforms.com1. this
Fill Now
Form preview
Rydell National Wildlife Refuge
United states department of the interior fish and wildlife service rydell national wildlife refuge 17788
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.