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Form Approved OMB No. 09380931 Expires: 03/18 DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES NATIONAL PROVIDER IDENTIFIER (NPI) APPLICATION/UPDATE FORM Please PRINT
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How to fill out national provider identifier npi

01
Step 1: Gather the necessary information such as personal details, contact information, and professional details.
02
Step 2: Visit the official NPI Enumerator website or call the NPI Enumerator to start the application process.
03
Step 3: Choose the appropriate application form based on your individual or organizational needs.
04
Step 4: Carefully fill out the application form by providing all the required information accurately and completely.
05
Step 5: Submit the completed application form either online or through mail as specified by the NPI Enumerator.
06
Step 6: Wait for the application to be processed. It may take a few weeks to receive the NPI.
07
Step 7: Once you receive the NPI, ensure to update your records and start using it in your healthcare transactions.

Who needs national provider identifier npi?

01
Healthcare providers such as doctors, dentists, psychologists, therapists, and other medical professionals who conduct HIPAA-covered transactions require a National Provider Identifier (NPI).
02
Organizations involved in healthcare, including hospitals, clinics, nursing homes, pharmacies, and medical suppliers also need to obtain an NPI.
03
Healthcare clearinghouses and health plans, such as insurance companies, are also required to have an NPI.
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The National Provider Identifier (NPI) is a unique identification number for health care providers.
Health care providers, including individuals and organizations, who meet the definition of a covered health care provider under HIPAA regulations are required to obtain and use an NPI.
To obtain an NPI, providers can apply online through the National Plan and Provider Enumeration System (NPPES) or by submitting a paper application.
The purpose of the NPI is to uniquely identify health care providers and enable electronic transactions, such as billing and claims processing, to be processed more efficiently.
Providers must report their legal name, business name (if different), contact information, taxonomy code, and other specific details related to their practice.
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