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CARRIER - National Provider Identifier (NPI)

 

The Centers for Medicare and Medicaid Services (CMS) Administrator has announced a May 23, 2005 start of enumeration for the National Provider Identifier (NPI). The NPI is the standard unique health identifier for health care providers that was adopted by the Secretary of Health and Human Services under the Health Insurance Portability and Accountability Act of 1996. The Administrator’s announcement letter informs health care providers about the NPI, describes three ways to obtain an NPI, and gives them guidance as to what they should do once they have obtained their NPI. The letter, which also provides contacts and resources should health care providers have questions about the NPI and additional information on the National Provider Identifier can be found on the CMS Web site at: www.cms.hhs.gov/NationalProvIdentStand/*

Healthcare providers/suppliers are required by law to apply for a National Provider Identifier (NPI). To apply online, visit https://nppes.cms.hhs.gov*, or call 1-800-465-3203 to request a paper application.

 
Electronic Data Interchange (EDI) NPI Technical Reference Documents:
Electronic Data Interchange (EDI) National Provider Identifier (NPI) Reference Document for ANSI X12N 837 HIPAA Compliant Claims  - For reporting NPI ONLY
Electronic Data Interchange (EDI) National Provider Identifier (NPI) Reference Document for ANSI X12N 837 HIPAA Compliant Claims  - For reporting NPI and Legacy
CR 4320 Stage 1 Use and Editing of NPI Numbers Received in EDI Transactions, via Direct Data Entry Screens or Paper Claim Forms
 
NPI Reference Documents:
Is Your NPI Rejecting?
CMS Announces the National Provider Identifier (NPI) Enumerator Contractor
CMS Clarifies Guidelines for NPI Deadline
CMS NPI Training Modules
Guidance on Compliance with the HIPAA National Provider Identifier (NPI) Rule (After the May 23, 2007 Implementation Deadline)
Important Guidance Regarding National Provider Identifier (NPI) Usage in Medicare Claims
Correction of Business Requirement 4320.19 as Contained in CR4320 Regarding National Provider Identifier Information
Medicare Fee-For-Service (FFS) National Provider Identifier (NPI) Implementation Contingency Plan Revised
Medicare's Implementation of the National Provider Identifier (NPI) Special Edition Medlearn Matters Article SE0555 Revised 10-3-05
SE0679 Medicare Fee for Service (FFS) Implementation of the National Provider Identifier (NPI)
Modification of National Provider Identifier (NPI) Editing Requirements in CR4023 and an Attachment to CR4320
National Provider Identifier (NPI) Crosswalk Testing
NPI: Get It. Share It. Use It.
NPI Transition Dates
Overview of the National Provider Identifier (NPI) Final Rule
Quarterly Reminder to Apply for NPI
Reporting the National Provider Identifier (NPI) on Physician Claims for Diagnostic Services Purchased Outside of the Local Carriers Jurisdiction
SE0608 NPI-Medicare Policy on Subpart Designation
The National Provider Identifier (NPI) Enumerator Contractor and Information on Obtaining NPIs
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