How do I get an NPI number?

To obtain your National Provider Identifier, go to http://nppes.cms.hhs.gov/ or call customer service at 800.465. 3203. Questions about the status of an NPI Application may be emailed to [email protected]

How much does an NPI number cost?

There is no charge to get an NPI. Audiologists and speech-language pathologists can apply online for their NPI, free of charge, by applying online or by contacting the NPI Enumerator to request a paper application. It takes less than 5 minutes to apply online and the number is issued within a few minutes.

How long does it take to get an NPI number?

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

Can you apply for NPI number without a license?

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. … Medical students, interns, and residents who are not licensed should select the Student, Health Care code when applying for NPIs.

Who qualifies for an NPI?

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.

Do nurses need an NPI number?

Nurses who work in health research through large healthcare systems or health plans will be required, in most cases, to obtain their own NPIs. … The NPI will replace the need for possessing multiple identification numbers, and is retained through job and location changes throughout the health professional’s career.

What is the purpose of an NPI number?

The NPI is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Standard. An NPI is a unique identification number for covered health care providers, created to improve the efficiency and effectiveness of electronic transmission of health information.

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.

Why are NPI numbers required?

A. The NPI is a single identification number that will be issued by the federal government to health care providers. It is intended to improve the efficiency of the health care system and help to reduce fraud and abuse.

How does a pharmacist get an NPI number?

Obtaining a NPI The application for an NPI may be submitted electronically at https://nppes.cms.hhs.gov/NPPES/Welcome.do. A paper application may be downloaded at www.cms.hhs.gov/NationalProvIdentStand/. Once a provider is assigned an NPI, the provider must update information within 30 days of any changes.

What does NPI number look like?

The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty.

What is the difference between NPI Type 1 and 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).

Can a pharmacy tech get an NPI?

NPIs can be obtained for physicians, pharmacists, physician assistants, midwives, nurse practitioners, nurse anesthetists, dentists, chiropractors, clinical social workers, professional counselors, physical therapists, occupational therapists, pharmacy technicians, athletic trainers, hospitals, home health care …

Is the provider a sole proprietor NPI?

Individual health care providers may get NPIs as Entity Type 1. As a sole proprietor, you must apply for the NPI using your own SSN, not an Employer Identification Number (EIN) even if you have an EIN. Note: An incorporated individual is a single health care provider who forms and conducts business under a corporation.

How do I know if my NPI is Type 2?

Type 1: Healthcare providers who are individuals, including physicians, dentists, and all sole proprietors. … Type 2: Healthcare providers who are organizations, including physician groups, hospitals, nursing homes, and the corporation formed when an individual incorporates him/herself into a group practice.

How do I get NPI 2?

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.

Can a provider have 2 NPI numbers?

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

Does an LLC need a Type 2 NPI?

Providers classified as a partnership or corporation who have formed an LLC would be required to obtain both a Type 1 and Type 2 NPI.

What is an individual NPI number?

The NPI (National Provider Identifier) Number is a 10-digit numerical identifier that identifies an individual provider or a healthcare entity. An NPI number is shared with other providers, employers, health plans, and payers for billing purposes.

Can a CNA get an NPI number?

Therefore, according to federal statute and CMS rule, medical assistants are not considered health professionals who are eligible for NPI numbers.

Do you need an NPI for private practice?

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires that all health care providers have a National Provider Identifier (NPI). … Most health plans, private health insurance issuers and all health care clearinghouses must accept and use NPIs in standard transactions by May 23, 2007.

What is sole proprietor in NPI?

A sole proprietor/sole proprietorship is an individual and is elegible for a single NPI. The sole proprietor must apply for the NPI using his or her own SSN, not an EIN even if he/she has an EIN. Because a sole proprietor/sole proprietorship is an individual, he/she cannot be a subpart and cannot designate subparts.