National application npi 2026

1. Click ‘Get Form’ to open the national application NPI in the editor.
2. Begin with Section 1: Basic Information. Indicate the reason for submission by checking the appropriate box (Initial Application, Change of Information, Deactivation, or Reactivation).
3. In Section 1B, select your entity type. Choose either 'Entity Type 1' for individuals or 'Entity Type 2' for organizations.
4. Proceed to Section 2: Identifying Information. Fill in your full legal name and any other names used, ensuring accuracy as it must match SSA records.
5. Complete Section 3: Addresses and Other Information. Provide a correspondence mailing address and business practice location details.
6. In Section 4: Certification Statement, ensure you sign and date the form. This confirms that all information is accurate and complete.
7. Finally, provide a contact person in Section 5 who can be reached for any questions regarding your application.

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