How to update npi information

How do I update my NPI address?

How to Change the Address on Your NPI Data Registry
  1. Visit the NPPES Website. Visit the NPPES website (see Resources).
  2. Sign In or Create an Account. …
  3. Click “View/Modify NPI Data” …
  4. Download Update Form. …
  5. Write the NPI Number. …
  6. Enter the New Address. …
  7. Enter Contact Information. …
  8. Send the Form.

Do I need to update my NPI?

Would I ever need to get a new NPI? … As CMS explains, a provider’s NPI is “meant to be a lasting identifier, and is expected to remain unchanged even if a health care provider changes his or her name, address, provider taxonomy, or other information that was furnished as part of the original NPI application process.”

How long does it take for NPI to update?

CMS estimates that, in general, a health care provider who submits a properly completed, electronic application could have an NPI within ten days.

Who is eligible for an NPI number?

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.

Can you have 2 NPI numbers?

Individual Providers can only have one NPI, however, Organization Providers can have multiple NPIs.

Do nurses have NPI numbers?

There are NPI numbers for nurses to be used by their employer. … Additional specialty training and credentials can lead to earning unique NPI numbers, which can be used when providing health care services.

Do NPI numbers expire?

Your NPI is yours for life and will never expire or be recycled and assigned to a different health care provider.

How do I reactivate my NPI number?


Record the NPI you want to reactivate, provide the reason for reactivation, and complete Section 2. Sign and date the certification statement in Section 4A or 4B, as appropriate. See instructions for Section 4. Use additional sheets of paper if necessary.

What is a nurses NPI number?

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.

Why does an RN need an NPI number?

The purpose of the NPI is to uniquely identify a health care pro- vider in health care claims. … Registered nurses—in par- ticular, APRNs—who directly bill health insurers for nursing services using elec- tronic billing must apply for, obtain, and use an NPI. CMS began issuing NPIs in October 2006.

Is an RN a provider?

Under federal regulations, a “health care provider” is defined as: a doctor of medicine or osteopathy, podiatrist, dentist, chiropractor, clinical psychologist, optometrist, nurse practitioner, nurse-midwife, or a clinical social worker who is authorized to practice by the State and performing within the scope of their …

What can I do with my NPI number?

In addition, the NPI may be used in several other ways: (1) by health care providers to identify themselves in health care transactions identified in HIPAA or on related correspondence; (2) by health care providers to identify other health care providers in health care transactions or on related correspondence; (3) by …

Is NPI number the same as tax ID?

Does the NPI replace the tax ID number? No, both the billing provider’s tax ID number and NPI are always required on claims. Any other providers identified, such as rendering provider or service facility, must be identified with their NPI only. Their tax ID number should not be included.

How do I find my NPI?

CMS has created an online NPI registry( where a physician, other health care provider, or organization can access NPI information. This is part of the same National Plan and Provider Enumeration System (NPPES) web site on which NPI registry is completed.

WHO issues NPI?

NPIs are issued by the National Plan and Provider Enumeration System NPPES). You may apply for an NPI in one of three ways: • Through an easy web-based application process at

Do social workers have NPI numbers?

All LCSWs who work with public or private insurance companies need a National Provider Identifier (NPI) number. The NPI is a unique number that identifies every provider for Medicare and/or in other insurance plans. 2.

What is a Type 1 NPI?

A: Type 1 – Healthcare providers who are individuals, including physicians, psychiatrists and all sole proprietors. An individual is eligible for only one NPI.

What is Type 2 NPI?

A Type 2 NPI is for group practices from large to small. Most group practices that supply superbills to their patients should have a Type 2 NPI. In some cases, even if you are the only healthcare provider in your practice it may be necessary to have a Type 2 NPI for your practice.

What is a sole proprietor NPI?

A sole proprietor/sole proprietorship is an individual and, as such, is eligible for a single NPI. The sole proprietor must apply for the NPI using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

What is the difference between group NPI and individual NPI?

There is a difference between an individual and group NPI. Each health care provider is required to obtain an NPI, and if the provider is associated with a health care group, then that health care group should have an NPI. … This is because all parties involved are considered health care providers.

What is the difference between NPI Type 1 and NPI Type 2?

Type 1 is for the provider.

For practices with multiple dentists, obtain a Type 1 NPI for each dentist. Type 2 is for group practices, incorporated dental practices or other business entities paid under their business or corporate name, or under their employer identification number (EIN).

How do I get Type 2 NPI?

Obtain a Type 2 NPI Organizational NPI – Apply online by going to the National Plan and Provider Enumeration System (NPPES) website . Request a new Provider Record ID packet from Blue Cross and Blue Shield of Texas (BCBSTX). You will need to notify BCBSTX once you have received your new Type 2 NPI from NPPES.

Does every doctor have an NPI number?

The NPI is a unique identification number for covered health care providers. All health care providers are eligible for NPIs and may apply for them. Because medical students, interns, residents and fellow are health care providers, they are eligible for NPIs.

How do I transfer my NPI number?

A health care provider may submit the change to NPPES via the web or by paper. If paper is preferred, the health care provider may download the NPI Application/Update Form (CMS-10114) from the Centers for Medicare & Medicaid Services’ forms page or may call the NPI Enumerator (1-800-465-3203) and request a form.

Do you need an NPI to bill insurance?

All health care providers that are considered covered entities under HIPAA, and those who file claims electronically or use a clearinghouse to bill insurance, are required to apply for an NPI. All other health care providers are eligible to receive an NPI if they desire.

When can you apply for NPI number?

A provider who submits a properly completed electronic application could have an NPI in 10 days. The paper application process takes approximately 20 business days. To obtain your National Provider Identifier, go to or call customer service at 800.465. 3203.

How long does it take to get NPI number?

10 days
A health care provider who submits a properly completed electronic application may expect to receive their NPI in 10 days although this may vary depending upon the volume of applications at any given time.

Leave a comment

Your email address will not be published. Required fields are marked *