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National Provider Identifier N.P.I. Application Update Form. National Provider Identifier N.P.I. Application/Update FormCMS-10114 2026
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How to use or fill out National Provider Identifier N.P.I. Application Update FormCMS-10114
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- Click ‘Get Form’ to open it in the editor.
- Begin with Section 1, where you will identify the reason for submitting the form. Choose from options like Initial Application, Change of Information, Deactivation, or Reactivation.
- In Section 2, provide identifying information. If you are an individual, fill out your full legal name and other required details. For organizations, include the legal business name and EIN.
- Proceed to Section 3 to enter your correspondence mailing address and primary business practice location. Ensure that all addresses are accurate for effective communication.
- In Section 4, review the certification statement carefully before signing. This section requires an original signature from either the individual provider or an authorized official for organizations.
- Finally, complete Section 5 by providing a contact person's information who can be reached regarding any questions about your application.
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