Npi application form 2025

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The document is the National Provider Identifier (NPI) Application/Update Form issued by the Department of Health and Human Services Centers for Medicare & Medicaid Services. It outlines the process for healthcare providers to apply for or update their NPI, including sections for basic information, identifying details, addresses, certification statements, and penalties for falsifying information. The form emphasizes the importance of providing accurate information to avoid delays in processing and issues with insurers.

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Click ‘Get Form’ to open the NPI application form in the editor.
Begin with Section 1, where you will select the reason for submitting the form. Choose from options like 'Initial Application' or 'Change of Information' by checking the appropriate box.
In Section 2, provide your identifying information. If you are an individual, fill out your name details including prefix, first name, last name, and credentials. If applicable, include any other names.
Proceed to Section 3 to enter your mailing address and practice location information. Ensure all fields are filled accurately to avoid delays.
In Section 4, review and sign the certification statement confirming that all provided information is true and complete. This section requires signatures from both individual practitioners and authorized officials if applicable.
Finally, complete Section 5 by providing contact person information. Make sure to include an email address for efficient communication regarding your application.

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Who does not need an NPI?

Who does not need an NPI number? According to CMS.gov, any entity that does not meet the definition of a health care provider as defined in 45 CFR 160.103 may not apply for an NPI. This includes: Billing services.

Who is responsible for NPI?

The Centers for Medicare and Medicaid Services (CMS) is responsible for oversight and management of the NPI system.

What is needed to apply for an NPI number?

Identifying information, including name, SSN and/or ITIN. Name of your organization, including EIN. Mailing and practice location addresses. Other provider identification numbers you have, if applicable.

What is an NPI needed for?

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.

What does it take to get an NPI number?

A provider who submits a properly completed electronic application could have an NPI in 10 days. The paper application process takes approximately 20 business days.