Npi application fillable 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 health care providers to apply for or update their NPI, which is a unique identifier used in standard transactions within Medicare, Medicaid, and other health programs. The form requires detailed information about the provider, including personal identification details, business addresses, and certification of accuracy. It also includes penalties for falsifying information and instructions for completing the form.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (129 Votes)
2018	4.3 Satisfied (205 Votes)
2012	4 Satisfied (24 Votes)
2008	4.3 Satisfied (255 Votes)
2007	4.1 Satisfied (35 Votes)
2005	4.3 Satisfied (72 Votes)

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What is a CMS 10114 form?

CMS 10114. Form Title. NATIONAL PROVIDER IDENTIFIER (NPI) APPLICATION/UPDATE FORM.

What is the easiest way to get an NPI number?

There are several ways to find your NHI number, including on: a prescription or prescription receipt. a prescription medicine bottle label. a hospital letter. an x-ray or test result. by checking your profile on the online patient portal provided by your general practice.

How do I find my doctors NPI number?

You can lookup a National Provider ID (NPI) on the National Plan Provider Enumeration (NPPES) website by clicking Search NPI Registry.

What do I need to get my NPI number?

Before you submit your application, ensure you have the following pieces of information: Reason youre submitting the application. Identifying information, including name, SSN and/or ITIN. Name of your organization, including EIN. Mailing and practice location addresses.

How do I find my doctors ID number?

In most cases, the Provider ID can be found by searching for the provider on an insurance carriers Find A Provider tool on their website. If the carrier does not show the Provider ID number in their directory, the provider themselves can give their ID number.

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How do I apply for an NPI for myself?

To obtain your National Provider Identifier, go to or call customer service at 800.465. 3203. Questions about the status of an NPI application may be emailed to customerservice@NPIEnumerator.com. Are you looking for your first physician job?