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Get the free NPI Submission Form for Solo Practitioners - Highmark Blue Shield

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NPI Submission Form for Solo Practitioners Blue Cross Blue Shield of Delaware is an independent licensee of the Blue Cross and Blue Shield Association. For Providers who submit claims using the CMS1500
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How to fill out npi submission form for

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How to fill out the NPI submission form for:

01
Start by gathering all the necessary information. This includes your personal details such as your name, address, phone number, and email address. You will also need to provide information about your practice, such as the name, address, and phone number of your organization.
02
Next, complete the sections related to your identification information. This includes your Social Security Number or Employer Identification Number (EIN), as well as your individual or organizational NPI number, if applicable.
03
Moving on, you will need to fill out the sections regarding your practice location(s). Provide the address and phone number of each location where you deliver healthcare services. If you have multiple locations, you should report them separately.
04
Provide details about your healthcare services. This includes selecting the appropriate healthcare provider taxonomy code that best describes your practice. You may need to refer to the NPI registry or consult with professional organizations to determine the correct code.
05
Complete the sections related to your healthcare provider information. This includes your licensing information, such as your medical license number and state of licensure. Additionally, you may need to provide information about your education and training.
06
Review and double-check all the information you have provided on the NPI submission form. Ensure that all the details are accurate and up-to-date. Mistakes or inaccuracies can lead to delays or rejections of your application.

Who needs the NPI submission form for:

01
Healthcare providers: Doctors, physicians, surgeons, dentists, psychologists, nurse practitioners, and other healthcare professionals who deliver services to patients need to fill out the NPI submission form. This form establishes their National Provider Identifier (NPI) and helps in the identification and tracking of healthcare providers across various health plans and regulatory agencies.
02
Healthcare organizations: Hospitals, clinics, nursing homes, rehabilitation centers, and other healthcare facilities that provide services to patients may also need to complete the NPI submission form. This form helps in identifying the organization and its associated healthcare providers when processing claims and coordinating care.
03
Medical billing and coding professionals: Individuals involved in medical billing and coding, including billing agencies and clearinghouses, may need to fill out the NPI submission form. This allows them to obtain an NPI that is utilized when submitting claims or working with healthcare providers and organizations.
In conclusion, filling out the NPI submission form involves gathering necessary information, providing identification details, reporting practice locations, describing healthcare services, and ensuring accuracy. The form is needed by healthcare providers, healthcare organizations, and medical billing and coding professionals to establish their NPI for identification and claims processing purposes.
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The NPI submission form is for healthcare providers to apply for or update their National Provider Identifier (NPI) number, which is a unique identification number assigned to healthcare providers.
Healthcare providers such as doctors, nurses, hospitals, and other healthcare organizations are required to file NPI submission form to obtain or update their National Provider Identifier (NPI) number.
To fill out the NPI submission form, healthcare providers need to provide their personal information, practice information, and details about the services they offer. They can submit the form online through the NPI Enumerator website.
The purpose of the NPI submission form is to ensure that healthcare providers have a unique identification number that can be used for billing, reporting, and communication with other healthcare entities.
The NPI submission form requires healthcare providers to report their personal information, practice location, specialization, and details about the services they offer. They may also need to provide information about their organization, if applicable.
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