How to apply for npi number nurse practitioner Jul 29, 2025 · Type 1 NPI is given to an individual medical practitioner, such as physicians, dentists, chiropractors, nurse practitioners, and therapists. The easiest way to obtain an NPI number is to apply through the NPPES registry; it’s also the quickest way to get your NPI number too. The goal of this post is to provide a step-by-step guide for first-time Apply for for a National Provider Identifier (NPI) The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandated the adoption of a standard unique identifier for health care providers. This allows individuals to easily complete their Medicare and Medicaid application and claims forms without missing vital details. After we supply an NPI, we publish the parts of the NPI record that have public relevance, including the provider's name, specialty (taxonomy) and practice address. 7 National Provider Identifier (NPI) The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. Discover the importance of NPI for healthcare providers. The revised form was recently approved by the Office of Management and Budget (OMB). Whether you’re a resident, intern, or an established practitioner, determining the right time to apply for an NPI is crucial for compliance and the smooth operation of your practice. Announcing the Revised CMS-10114 National Provider Identifier (NPI) Application/Update FormThe National Provider Identifier (NPI) Application/Update Form (CMS-10114) has been revised to provide additional guidance on how to accurately complete the form. The document itself is not so long, but some questions may be viewed differently, depending on each provider’s background. Nurses can verify their licenses by completing the Nursys verification process for $30 per license type, per each board of nursing where the nurse is applying. How to Apply for an NPI Number? Applying for an NPI number through the official NPPES portal is a required step for providers billing Medicare, Medicaid, or commercial insurance. You can use the same website and login credentials to view and update NPI records in the future. Please click login to return to the login page. National Provider Identifier (NPI) number The National provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. Nurse Practitioners manage a broad range of health issues, emphasizing primary care and health promotion. As some providers may have one NPI that corresponds to multiple service locations, and therefore multiple MMIS provider numbers, MassHealth may require a taxonomy code for claims • If the application is complete and free of errors. A practical guide for healthcare providers across all specialties. It goes in this order. This could mean that a To write prescriptions for many medications you must apply for a DEA number. Two Types of NPIs: Type 1: For individual health care providers, such as physicians, nurse practitioners and sole proprietors. or the Nonbilling Ordering, Referring, and Prescribing (ORP) application must be completed before submitting the application for authorization to practice in the advanced role as an APRN (i. Do not apply for pharmacy or DEA before talking with your office manager. 200 – Staff Requirements in the Counseling Services provider manual. Health care providers may begin applying for their NPI numbers electronically on May 23, 2005 or may submit a paper application beginning this summer. There are two types of healthcare provider NPIs: Type 1 "Nurse Practitioners and Certified Nurse Midwives seeking prescribing and dispensing privileges must complete question 20 prescribing and dispensing AND shall submit written evidence of 45 contact hours of education in pharmacology or clinical management of drug therapy within the three year period immediately preceding this application. Box 6059 Fargo, ND 58108-6059 3. To get an NPI, a provider may apply at the National Plan and Provider Enumerator System (NPPES) website. This alphanumeric APPLICATION PROCESS For applicants who completed a California-Based Nurse Practitioner Education Program or a Non-California Based Nurse Practitioner Education Program and Advanced Pharmacology Course, provide the following: How to apply for your NPI & DEA license as a new NP Brittani, NP 22. It must be used on electronic claim transactions for health care billing and reimbursement. What is Initial Approval to Practice? Initial approval to practice is first-time approval to practice as a Nurse Practitioner in North Carolina. What's an NPI and why should you get one? The NPI registry enables you to search for a provider's NPPES information. Department of Justice website. Oct 4, 2022 · A step-by-step guide to NPI application completion Congratulations on needing a National Provider Identifier (NPI) number! Because this clearly signifies an advancement in some form for you. gov. Jan 2, 2019 · Instructions for Advanced Practice Nurse Certification in N. Jul 26, 2025 · If you’re a newly minted doctor, nurse practitioner, dentist, or some other type of health provider in the U. Check the box that says, “I certify” and click submit at the bottom and you will receive an email providing you with your NPI number. How Do I Apply for an NPI Number? GENERAL INSTRUCTIONS FOR APPLYING FOR NURSE PRACTITIONER (NP) CERTIFICATION IN ORDER TO FURNISH/PRESCRIBE DRUGS IN CALIFORNIA AS A NURSE PRACTITIONER, YOU MUST HAVE A FURNISHING NUMBER. Find answers to frequently asked questions about the National Plan and Provider Enumeration System (NPPES). To participate as a provider of medical or health services for the Department of Medical Assistance Services (DMAS), you are required to obtain an NPI. The NPPES was developed to assign unique identifiers for HIPAA. Covered health care providers and all health plans will use the NPIs in the administrative and financial transactions adopted under Advanced practice nurses include nurse practitioners, nurse-midwives, clinical nurse specialists, and nurse anesthetists. e. In addition, all healthcare providers, nurse practitioners included, must apply for a National Provider Identifier (NPI). Visit the NPPES website and use your I&A login to get to the electronic application, which takes about 20 minutes to complete. Before beginning the CMS I&A registration process, you will be required to “accept” various screens and complete the ensuing questions necessary to successfully complete your registration. Organizations can have multiple NPIs. How do I determine if my rendering provider needs an NPI or a PIN? View Section 211. From understanding the difference between certification and licensure to applying for your NPI number and DEA registration, I cover the critical administrative tasks that stand between passing your boards and beginning your practice. Individuals or organizations apply for NPIs through the CMS National Plan and Provider Enumeration System (NPPES). Aug 13, 2025 · How to Become a Nurse Practitioner in Illinois Imagine a healthcare setting where the medical staff is stretched thin, yet a dedicated nurse practitioner takes center stage, alleviating patient concerns with expertise and empathy. It is a 10-digit permanent number assigned to a provider and must be used on electronic claim transactions for health care billing and reimbursement. APRN Initial Application Checklist All Kansas APRN licenses are single-state only! If you have a current multi-state license from your primary state of residence and you will NOT be moving to Kansas, you only need to apply for the APRN license in Kansas. Before you can register with the NPPES to receive an NPI Number, you must first create a new account in the Identity & Access Management System. Yes. Suddenly, my personal space wasn’t the only thing feeling cramped. You may also update your information on file by accessing the system. Thanks. gov/NPPES Select Create a Login to begin application process Select OK to be redirected to the CMS website Apply for NPI. Each NPI is a unique identification number for covered health care providers. Individuals and organizations that are healthcare providers must obtain the proper type of NPI. The NPI is a unique identification number for covered health care providers. Mail. All HIPAA covered entities except small health plans must begin using the NPI on May 23, 2007; small health plans have Nov 28, 2024 · Learn everything about NPI numbers, including how to apply, verify, and use your National Provider Identifier. What is A National Provider Identifier (NPI) Number? National Provider Identifier or NPI is a 10-digit number given to healthcare providers and organizations in America by the government agency that runs Medicare (called the CMS). So, let’s get started. She was appalled to find that her personal address and cell phone were listed, plainly visible and available to the public, along with her NPI number and license numbers. Are you a travel nurse or planning to work in multiple states? An NPI provides continuity and consistency in your professional identification across state lines. Click to know more. A taxonomy code is a unique 10-character code that designates your classification and specialization. For more reading about the NPI number, you can read this article by the Centers for Medicare and Medicaid Services (CMS) (2006) here. Obtain a National Provider Identifier (NPI) issued by the US Center for Medicaid and Medicare Services (CMS) Federal law requires that health care providers (including NPs) use NPIs on electronic health care Initial Application If applying for a NPI for the first time check box #1, and complete appropriate sections as indicated in Section 1B for your entity type. To obtain the official order form, you may: Apply online at the U. Per 42 CFR §410. DO NOT upload DMS-7708, Practitioner Ready to apply for an NPI number? Learn how explore the NPI registry, create an NPI profile, and do an NPI lookup. CMS estimates that, in general, a health care provider who submits a properly completed electronic application could have an NPI within 10 days. DEA applications may be obtained via the DEA's web site. Jan 14, 2025 · The National Provider Identifier (NPI) is a vital credential for healthcare providers in the United States. How to enroll a National Provider Identifier (NPI) with Health Care Authority For use by licensed behavioral health agencies to assist with billing Integrated Managed Care (IMC). This number is unique to the provider and stays with them throughout their career, regardless of changes in location, specialty, or employment. You may or may not know what an NPI number is? But don’t worry, in this blog, we will clarify everything about a National Provider (NPI) number and also give you a step-by-step roadmap to apply for an NPI number proactively and become a verified caregiver in the US healthcare sector and receive the payments promptly. If yes, having an NPI can facilitate smoother billing and compliance. S. 75(b), a nurse practitioner must be a registered professional nurse who is authorized by the state to practice and must also meet one of the following criteria: (1) Obtained Medicare billing privileges as a nurse practitioner for the first time on or after January 1, 2003, and meets the following requirements: By registering for an NPI, we can push systems to extract nursing services from the data and demonstrate the critical role of nurses in patient care. You can use NPI Lookup to find doctors, specialists, nurse practitioners, hospitals, labs, and more. An online application for Initial Approval to Practice must be completed and approved by the North Carolina Nursing Board and Medical Board before beginning employment as a Nurse Practitioner. Nov 22, 2022 · Apply for a Nurse NPI Number The process of applying for an NPI number is quick and simple. Figuring out how to get a new grad nurse practitioner job can be stressful. The NPI will replace the identifiers you currently use in HIPAA standard transactions that you conduct with Medicare and with other health plans. This responsibility comes with significant legal and regulatory obligations, especially when it comes to controlled substances. Jun 13, 2025 · Nurse Practitioners: Here's how and when to apply for your DEA license. A copy of the application form (CMS-10114), which includes the NPI Enumerator’s mailing address, is available only upon request through the NPI Enumerator. Fill out and mail a paper application form to the NPI Enumerator. This includes doctors, nurses, suppliers of health care services, and many other providers and practitioners. Institutional providers must create a login for NPPES only on this webpage to manage an NPI for a health care organization. Provider Index > Nurse (LPN/RN) > Individual Billing Medicaid Provider Enrollment & Maintenance Complete this Enrollment Form if you are: Applying for initial ENROLLMENT or ALREADY ENROLLED and enrolling another NPI, or Responding to a letter instructing you to REVALIDATE your enrollment, or Seeking REINSTATEMENT or REACTIVATION of your previous enrollment PRACTITIONER Enrollment Form Your session has expired or you have logged in another window. 6 days ago · Learn the essential steps in our guide, How To Apply for DEA Number Nurse Practitioner, to confidently obtain your DEA number and enhance your practice. Licensed and unlicensed residents are expected to obtain a NPI number. Explore resources for nurse practitioners in New York, including licensure, certification, and professional guidelines. Type 2: For health care organizations, such as hospitals, nursing homes, and physician groups. You have a lot to think about with nurse practitioner school graduation and your board exam coming up. You might need the other information to submit a claim or to find a practitioner with a relevant specialty in your area. The ins and outs of certification, applying for a license and a DEA number … The Nurse Practitioner Licensing Process in a Nutshell Read Feb 18, 2018 · In general, as long as the online application is filled out correctly, you will receive your NPI number within 10 days, and your application is FREE. Individuals are only eligible for one NPI. J. An individual NPI number is assigned to a single healthcare provider, such as a doctor, nurse practitioner, dietitian, or other advanced practitioner. To complete an on-line application, you need to have a social National Provider Identifier (NPI) as the Unique Nurse Identifier ANA Position Statement Approved: June 2022 Purpose Health system transformation that recognizes the value of nursing services through positive patient outcomes and correlating reimbursement are priorities of ANA. In order to be reimbursed for services delivered, it is necessary for providers to apply for and obtain an NPI. Just thinking about when to start applying for NP jobs can be overwhelming. The National Provider Identifier (NPI) has been adopted by the U. Claims billed without a billing provider’s NPI will be denied. I was told through faculty at my school I could apply for my NPI number, but in the process of the application Your session has expired or you have logged in another window. Jan 21, 2025 · When applying for or updating your National Provider Identifier (NPI), selecting the correct taxonomy code is a critical step. Why is an NPI number important for nurse practitioners? We break down how this form of ID can be used to perform clinical duties. FAQ: National Provider Identifier (NPI) NPI News: As a result of the Health Insurance Portability and Accountability Act (HIPAA) of 1996, the federal Department of Health and Human Services mandated the use of the National Provider Identifier (NPI), which is a standard unique identifier for health care providers. In this blog, we’ll explore when healthcare providers should apply for an NPI and the factors that May 31, 2024 · If your license is nearing its expiration date, go ahead and renew it. Department of Health and Human Services to meet the HIPAA health care provider identification mandate. You can actually apply for your NPI as a nurse, and once you obtain your NP license you can update it. Which Nurses Need an NPI Number? Getting Your NPI A healthcare services provider needs to obtain an NPI to be able to submit an IHCP provider enrollment application. Jul 14, 2025 · How to Become a Nurse Practitioner in Michigan In the heart of America’s Great Lakes region lies an opportunity that could redefine your nursing career—a chance to become a Nurse Practitioner (NP) in Michigan, a state that relies heavily on the expertise and compassion of advanced practice nurses. Most of our patients are Dec 6, 2022 · Let me break down the basics of nurse practitioner credentialing to help you better understand what it is and what you're responsible for! May 10, 2022 · Excludes “Nurse Anesthetists'' (29-1151), “Nurse Midwives” (29-1161), and “Nurse Practitioners” (29-1171). Getting this number is important if you plan to bill for Medicare services. My question is how long did it take for your state to review your license application and approve it? Also, should I wait until I find a job to apply for my NPI and DEA number or just do it now to get the ball rollig. You may prepare a paper application and send it to the NPI Enumerator at the following address: NPI Enumerator P. , a nurse practitioner, certified registered nurse anesthetist, nurse midwife, psychiatric clinical nurse specialist or clinical nurse specialist). Now you can apply for board authorization to practice. APRN Application What is the first step to obtaining an advanced practice registered nurse (APRN) license in Texas? A nurse who wishes to be licensed to practice as an APRN in the state of Texas must be licensed as a Registered Nurse in Texas or have a current, valid RN license with multistate privilege Jul 6, 2025 · How to Become a Nurse Practitioner in New York To become an NP in New York, you must: Hold a New York RN license Complete a NYSED-approved NP graduate program Pass a national NP certification exam Apply for NP certification through NYSED Complete required training for prescriptive authority Nursing in New York: An Overview New York is facing a healthcare workforce crisis—and nurse Are you a Practitioner who needs to enroll as an Ordering, Prescribing, Referring or Attending (OPRA) non-billing Provider? Are you a Business, Group, or Institutional (Facility) provider that is part of a Medicaid Managed Care (MMC) Network that is required to enroll with NYS Medicaid per the 21st Century Cures Act? Your session has expired or you have logged in another window. Aug 21, 2025 · National Certification Why does national certification matter for Arizona nurse practitioners, and how do you secure it? National certification is the non-negotiable credential that unlocks your authority to practice as a nurse practitioner in Arizona. When gathering information for the application, be sure that all provider information, such as Social Security Number and Federal Employer Identification Number (FEIN), are correct. National Provider Identifier The Health Insurance Portability and Accountability Act (HIPAA) requires the adoption of a standard unique identifier for health care providers, the National Provider Identifier (NPI). Created Date11/20/2015 3:05:32 PM The National Plan and Provider Enumeration System (NPPES) collects identifying information on health care providers and assigns each a unique National Provider Identifier (NPI). In this informative video, we dive deep into the essential identification numbers crucial for healthcare providers: the NPI (National Provider Identifier), CAQH (Council for Affordable Quality Nov 17, 2025 · Search the NPI Registry - Updated Nov 17, 2025 - The NPI Registry is a database of health care providers having an NPI number registered with the NPPES. You will need an NPI prior to enrolling with You can apply for your National Provider Identifier (NPI) in one (1) of three (3) ways: 1. Apr 11, 2021 · How Health Care Providers Get an NPI or EIN? A National Provider Identifier (NPI) is a unique identification number that is given to all those that provide health care services. It replaces all existing health care provider identifiers including numbers assigned by Medicare, Medicaid, Blue Cross, etc. Provider Index > Nurse Practitioner > Individual Billing Medicaid Provider Enrollment & Maintenance Complete this Enrollment Form if you are: Applying for initial ENROLLMENT or ALREADY ENROLLED and enrolling another NPI, or Responding to a letter instructing you to REVALIDATE your enrollment, or Seeking REINSTATEMENT or REACTIVATION of your previous enrollment PRACTITIONER Enrollment Form If you’re unfamiliar with NPI numbers, you likely have questions about who needs an NPI number, how to get an NPI number, how long it takes to get an NPI number, and more. Sep 1, 2023 · California Registered Nurse License and Certificate of Nurse Practitioner from a national or state organization acknowledged by California Board of Registered Nursing, and specifying the area of specialization training. Online Application 2. In each of these categories, the individual must first have a California registered nurse license before obtaining the certificate. Using the NPPES Registry Performing an NPPES lookup is a quick and easy way to find practitioners on the NPPES registry. The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) administrative simplification standard. NPPES is a system that assigns and manages unique identifiers for healthcare providers and plans in the US. This article covers everything you need to know about NPI numbers — from what they are to how they relate to HIPAA to the different methods you can use to get one of your Sep 17, 2016 · HI, Im a brand new NP. If the NPI is not reported, the enrollment application can not be processed by the Medicare carrier. You have successfully completed the certification process in one or more clinical categories. The application for an NPI number can be completed through the National Plan and Provider Enumeration System (NPPES) website. Any doctor, nurse or therapist who has to follow privacy laws called HIPAA and wants to bill Medicare for treating patients must have an NPI. CMS provides this service based on federal law (45 CFR Part 162). May 27, 2025 · Learn how to start your own NP practice with essential steps and tips for Nurse Practitioners and Advanced Practice Providers. National Provider Identifier (NPI) Application Process To complete the online NPI application, you must first obtain an Identity & Access (I&A) User ID. Apply online to obtain a National Provider Identifier (NPI) using the National Plan & Provider Enumeration System (NPPES). Put your office address and phone numbers in the NPI applications. You may also call your local DEA office. cms. You are responsible for asking organizations to send written verification of your education or other credentials directly to NYSED. Information about the taxonomy code system used in NPPES. Sep 10, 2024 · The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. (via submitting Compact State Application in Nurse Portal) Registration as a Nurse Practitioner in North Carolina Physician Name or Physician License Number and Physician Email Address How to Apply for your NPI Number Go to the National Plan and Provider Enumeration System at https://nppes. *Disclosure: This article on do nurses have May 23, 2007 · The NPI is a 10-digit number that will be used to identify you to your health care partners, including all payers, in all HIPAA standard transactions. Sep 14, 2006 · How does a nurse practitioner get a Medicare/Medicaid number for billing purposes? Will this same number be applicable for durable medical equipment? National Provider Identifier (NPI) (Required) Enter your Individual NPI. After the New York State Education Department issues you a certificate to practice as a nurse practitioner (NP), you must complete the tasks below in order to prescribe medications. The NPI is Nov 13, 2024 · Conclusion While not all nurses need an NPI number, it is crucial for those in advanced practice roles or specific independent settings to acquire one. Family physicians can find out how apply for a national provider identifier for their practices. Instructions for Completing the National Provider Identifier (NPI) Online Application Items needed before proceeding with online application: A sole proprietor/sole proprietorship is an individual and, as such, is eligible for a single NPI. As an insurance billing company, Holistic Billing has providers contacting us daily about how to start medical billing. On the application - the line that asks if you’re applying as a sole proprietor with only a yes/no option. NP License So I passed my AANP board exam, then applied for my license. DMAS has adopted the NPI as the standard for identifying all providers on all transactions, including paper claims. Apply for your NPI number AFTER accepting the job offer. Jan 29, 2025 · As a nurse practitioner (NP), prescribing medications can be a critical part of your role in delivering patient care. 2K subscribers Subscribe What is an NPI? The NPI is a numeric identifier that is assigned to a health care provider by the Centers for Medicare & Medicaid Services (CMS). gov/ and then following the steps below: NPI Lookup functions as an easy-access tool for obtaining necessary information about medical practitioners. Learn how to gathe Part of the credentialing process for nurse practitioners (NP) is getting a National Provider Identifier (NPI) number. The BRN also maintains a listing of psychiatric/mental health nurses. In addition, update any BILLING NUMBER AND NATIONAL PROVIDER IDENTIFIER INFORMATION The Provider Transaction Access Number (PTAN), often referred to as a Medicare Supplier Number or Medicare Billing Number is a generic term for any number other than the National Provider Identifier (NPI) that is used by a practitioner to bill the Medicare program. Feb 10, 2025 · The NPI is a unique, government-issued, standard identification number for individual providers and healthcare organizations. Quick question regarding applying for your NPI as I’m getting mixed answers even from my former professors. So, what exactly is a NPI, why do you need it, and how do you get one? Your session has expired or you have logged in another window. Applying for the NPI is a separate process from MO HealthNet enrollment. Because a sole proprietor/sole proprietorship is an individual, he/she cannot be a subpart and cannot designate subparts. Includes MATE Act education and a full application checklist. , there is one critical step you need to take before billing insurance or appearing on Medicare records: get an NPI number through NPPES. Please read the following information carefully before completing an application for APN Certification. The health plans with whom you do business will instruct you as to when you may begin using the NPI in standard transactions. I vividly recall sitting in a lecture hall in my nurse practitioner program in a plastic, too-small seat sandwiched between two classmates when I first heard of the NP licensing process. If you have any questions, do not hesitate to ask me in the comment section. If you previously held an APN certification in New Jersey, DO NOT complete this application. How Does NPI Underrepresentation Impact Our Profession? Nov 11, 2020 · The system is also used for non-licensed practitioners. Upon graduation and the receipt of your certification (and state licensure if applicable), log into your NPPES account and remove the 390200000X-Student taxonomy code and set your primary code as “2255A2300X-Athletic Trainer”. You graduated from a program preparing you for practice as an advanced practice registered nurse (APRN). If you have a current single-state license in the state you live in, you will need to complete BOTH the RN endorsement application and the In this video I go over a step by step guide on what to do after you graduate nurse practitioner school, how to do it, and resources more Legal aspects that nurse practitioners should know . Just like how our social security number follows us from the beginning to the end of life (curse you taxes!), an NPI number can follow a health care provider for their entire careers! NPI numbers, known as a National Provider Identifier, can help eliminate the need for changing identifiers and help health care providers bill for services more easily. 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. Advanced Practice Registered Nurses (APRNs) and some Registered Nurses (RNs) in specialized billing roles will find that having an NPI number is essential for their work. The Nurse Practitioner (NP) is an advanced practice registered nurse who meets Board education and certification requirements and possesses additional advanced practice educational preparation and skills in physical diagnosis, psycho-social assessment, and management of health-illness needs in primary care, and/or acute care. The NPI Enumerator’s phone number is 1-800-465-3203 or TTY 1-800-692-2326. You can apply online for an NPI by going to https://nppes. This scenario is becoming increasingly common in Illinois, where nurse practitioners (NPs) play a pivotal role in bridging the healthcare gap, especially in The Nurse License Verification service enables nurses to verify their license (s) from a Nursys verification participating board when applying for endorsement into another state. Go to the Identity & Access Management System (I&A) and set up your account if you haven't already done so. Here is a quick video on how to apply for your DEA and NPI. Covered health care providers, all health plans and health care clearinghouses will use NPIs in the administrative and financial transactions adopted under HIPAA. This description does not recognize the CNS role as an advanced practice role or cover our competencies in the nursing or systems spheres of impact. A nurse practitioner NPI number is a unique 10-digit code that is issued to healthcare providers by the Centers for Medicare and Medicaid Services (CMS). How Nurse Practitioners Can Get Their Personal Contact Info Offline A nurse practitioner I spoke with recently had a question about her NPI number. Aug 22, 2025 · Whether you are preparing for residency, stepping into your first attending role, or planning to work as a locum tenens physician or advanced practitioner, this guide provides clear answers to common questions and step-by-step instructions to help you get your NPI Number quickly and without confusion. Dec 11, 2024 · What Nurse Practitioners Do While historically the Nurse Practitioner role began in rural primary care, Nurse Practitioners practice in many settings such as specialty practices, hospitals, managed care, long-term care, and public health. How can I request a Practitioner Identification Number (PIN)? The Practitioner Identification Number (PIN) request must be submitted electronically through the provider portal effective July 15, 2025. Jul 17, 2025 · Acquiring a National Provider Identifier (NPI) number is essential for Nurse Practitioners who will be involved in medical billing and transactions. The NPI must be for an individual physician or non‐physician practitioner (not an organizational NPI). Conclusion Obtaining an NPI number is a fairly simple process, but is necessary if you plan to provide healthcare services under HIPAA. Let’s take a look at the process of getting a DEA number as a NP. So, as a current NP school student, and soon-to-be new grad NP, when are you supposed to start applying for nurse practitioner jobs? The Jul 3, 2025 · How to Become a Nurse Practitioner in Texas: Licensure Guide Becoming a nurse practitioner (NP) in Texas requires a clear, step-by-step approach grounded in education, experience, and licensure. Feb 13, 2025 · Referring, and Prescribing (ORP) application must be completed before submitting the application for authorization to practice in the advanced role as an APRN (i. This unique number stays with the provider for life, regardless of employment changes or organizational affiliations. You start the process by going to https://nppes. The NPI is 10 digits in length and will replace the current LEA Medi-Cal provider numbers. Apply for Your NPI and DEA License As a practicing nurse practitioner, you’ll need a National Provider Identifier (NPI) number and a license from the US Drug Enforcement Administration (DEA). The advanced practice registered nurse must have a prescriptive authority number that has been issued by the Texas Board of Nursing before submitting the controlled substance registration form. I am a nurse practitioner (NP): How do I apply for DEA number? As an NP who administers, prescribes or dispenses any controlled substance, you must be registered with the federal Drug Enforcement Administration (DEA). O. Nov 3, 2014 · Effective May 23, 2007, the National Provider Identifier (NPI) replaced all previous provider identifiers in HIPAA standard transactions. An active permanent North Carolina Registered Nurse (RN) license or Registered Nurse (RN) license with multistate privileges from another compact state. Oct 31, 2024 · Can you apply for NPI number without a license? Some healthcare providers, such as medical billing professionals and IT experts, don’t need a license to obtain an NPI. Jul 29, 2025 · Learn how to find your taxonomy code, and how to access the taxonomy code data set. To obtain an NPI, apply online at https://nppes. The process takes only a few minutes to complete and the number is usually assigned within 24 hours, but if the provider is employed by a healthcare organization and has not previously received their own NPI, then the healthcare organization can apply for the NPI on behalf of their employee, but these are frequently not taken as a priority so Your session has expired or you have logged in another window. IF YOU WOULD LIKE TO APPLY FOR A FURNISHING NUMBER, YOU MUST SUBMIT BOTH THE NURSE PRACTITIONER AND NURSE PRACTITIONER FURNISHING APPLICATIONS Individuals or organizations apply for NPIs through the CMS National Plan and Provider Enumeration System (NPPES). What is an NPI? The NPI is a 10-digit permanent numeric identifier that is assigned to a health care provider by the Centers for Medicare & Medicaid Services (CMS). Need to apply for a National Provider Identifier (NPI) number? This helpful YouTube video will guide you through the process step by step. Please complete the APN Reinstatement application. MassHealth processes claims by mapping the NPI submitted on a claim to the MMIS provider number. Third Party: With your permission, an organization may submit your application in an electronic file. Whether you’re starting your NP journey or upgrading from an RN license, this guide outlines the key requirements, including regional considerations such as Texas’s jurisprudence exam and compact 3. Taxonomy codes classify healthcare providers based on their specialty, sub-specialty, or type of service, ensuring accurate identification for credentialing, billing, and compliance. Therefore, you must apply for NPI. The purpose of an NPI number An NPI number is assigned to a medical professional or healthcare provider upon registration. Use your I&A username and password to access the National Plan and Provider Enumeration System (NPPES) website. Instructions for Applying for a Nurse Practitioner (NP) Certificate NOTE: Read all instructions carefully! You must ensure that all required application forms and records are complete and sent to the New York State Education Department (NYSED). The NPI is a HIPAA Administrative Simplification Standard created to help send health information electronically more quickly & effectively. hhs. Aug 5, 2025 · Learn what an NPI is, who needs one, and how to apply or update it. (Adult/Gero Primary Care). Previous provider identifiers that will no longer be valid include: UPIN; Medicaid provider number; Medicare provider number; and Blue Cross and Blue Shield number. You will use this code when applying for a National Provider Identifier, commonly referred to as an NPI. Please be advised Nov 8, 2020 · This article covers all you need to know about NPI numbers, including answering questions such as how do I find my NPI number, and what is the NPI number application cost. Social: https://www. An NPI number alone isn't enough information, as it only covers a practitioner's name. This applies to healthcare providers that are covered by HIPAA, as opposed to a UPIN that is required for commercial healthcare establishments. Oct 7, 2025 · Learn the essential steps in How to Apply for an NPI Number as a Nurse Practitioner to advance your healthcare career effectively. Change of Information If changing information, check box #2, write your NPI in the space provided. For more information on unique nurse identifiers, check out this infographic on the NCSBN ID and NPI. Jul 1, 2016 · 1. So, she searched online for her name + NPI. Apr 30, 2025 · In this episode, I break down the essential post-certification steps every new nurse practitioner needs to take. Whether in bustling urban hospitals or quiet rural clinics, Nurse Practitioners are essential Physicians/non-physician practitioners must obtain an NPI from the National Plan and Provider Enumeration System (NPPES) prior to completing the CMS-855I or CMS-855R enrollment applications because the NPI must be reported on the applications. The Arizona State Board of Nursing (AZBN) requires every NP applicant to hold current, nationally recognized certification in their intended Dec 13, 2023 · Review the Nurse Practitioner licensing and credentialing requirements and the step-by-step guide through that process. lqdir ypuomb xqs npnyl jzndi sfhj edrx llmgy zdzwvt miqvkx ovy gipmbs uesm sxvaj chfjg