National Provider Identifier N.P.I. Application Update Form. National Provider Identifier N.P.I. Application/Update FormCMS-10114 2026

1. Click ‘Get Form’ to open it in the editor.
2. 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.
3. 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.
4. Proceed to Section 3 to enter your correspondence mailing address and primary business practice location. Ensure that all addresses are accurate for effective communication.
5. 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.
6. 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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