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Click ‘Get Form’ to open the Application for Non-Physician Health Care Practitioner in the editor.
Begin by filling out your personal information, including your last name, first name, middle initial, and individual NPI number. Ensure that all required fields are completed accurately.
Indicate whether this application is due to the COVID-19 pandemic and select the type of application you are submitting (e.g., First-time application, Demographic change).
Provide your license number and state, Medicare number, and any additional required identifiers such as DEA Certificate number.
Fill in your primary office address with complete street-level information. Remember that PO Box addresses are not acceptable.
Complete the correspondence, remittance, and medical record addresses as required. Each must be a valid mailing address.
Review all entered information for accuracy before signing the applicant attestation section at the bottom of the form.
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Non-physician providers are healthcare professionals who offer medical services and are not doctors. Non-physician providers often work alongside and under the direction of physicians. Some examples of non-physician providers include: Registered nurses. Nurse practitioners.
How long does it take to become a non-physician practitioner?
An MSN program usually takes two years to complete, and a DNP program is typically four years. An MSN or DNP degree will qualify you to become a nurse practitioner, but NPs who have earned their doctorate tend to have better career opportunities. Many employers and state licensing boards now require a DNP degree.
What is an example of a non physician?
Nonphysician providers such as nurse practitioners and physician assistants are an essential part of the physician-led care team and can help health care organizations and physician practices deliver high-quality care.
What is a non-physician practitioner?
The Medicare Enrollment Application - Clinics/Group Practices and Certain Other Suppliers (CMS-855B) is used by groups and organizations that are enrolling in Medicare for the first time in a given state, or that are reporting a change to previously reported enrollment information.
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