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APPLICANT INFORMATION PROVIDER NAME EIN OR SOCIAL SECURITY NUMBERPHONEEMAILThis business is:1. Sole Proprietor For Profit Corporation Nonprofit 501c(3) Partnership GovernmentBUSINESS LOCATION1. MAILING
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How to fill out npi fact sheet for

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How to fill out npi fact sheet for

01
To fill out the NPI (National Provider Identifier) fact sheet, follow these steps: 1. Start by providing your personal information, such as your full name, contact details, and social security number.
02
Indicate whether you are applying for an initial NPI or updating an existing NPI.
03
Provide your business information, including the practice name, address, phone number, and speciality.
04
Specify the type of healthcare provider you are, such as individual or organization.
05
Provide information about your healthcare taxonomy code and your primary specialty.
06
Answer the questions related to your practice location, such as whether you provide services in multiple locations or are a mobile provider.
07
Indicate if you are affiliated with any group practice or healthcare organization.
08
Provide your practice's billing information, including the NPI of your billing provider and any other applicable details.
09
Complete the remaining sections of the fact sheet, which may include questions about public health services, electronic prescribing, and other optional information.
10
Review your completed fact sheet thoroughly for accuracy and ensure all required fields are filled out.
11
Sign and date the fact sheet, certifying that the information provided is correct to the best of your knowledge and belief.
12
Submit the completed NPI fact sheet either online through the NPPES (National Plan and Provider Enumeration System) or by mail.
13
Await confirmation of your NPI registration and ensure all further communications regarding your NPI are properly addressed and managed.

Who needs npi fact sheet for?

01
The NPI fact sheet is required for healthcare providers who wish to obtain or update their National Provider Identifier (NPI).
02
This includes both individual healthcare providers, such as physicians, dentists, and therapists, as well as healthcare organizations, such as hospitals, clinics, and group practices.
03
Any healthcare provider involved in electronic transactions, such as billing insurance companies, submitting claims, or prescribing medication, needs an NPI.
04
Furthermore, healthcare providers who participate in Medicare, Medicaid, or other federal healthcare programs are also required to have an NPI.
05
The NPI serves as a unique identifier for healthcare providers, ensuring accurate identification and tracking of their professional activities and transactions.

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NPI fact sheet is used to provide information about a healthcare provider's National Provider Identifier (NPI) number and contact information.
Healthcare providers who have been assigned an NPI number are required to file an NPI fact sheet.
To fill out an NPI fact sheet, healthcare providers must provide their NPI number, contact information, and any other required details.
The purpose of an NPI fact sheet is to ensure accurate and up-to-date information about healthcare providers is maintained.
Information such as NPI number, contact information, and any other required details must be reported on an NPI fact sheet.
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