How to get a Medicare provider number

A Medicare provider number is known as a “national provider identifier,” a ten-digit identification number for covered health care providers. The Centers for Medicare and Medicaid Services state that covered health providers, health plans and health care information centers are required to have national provider identifiers for administrative and financial transactions under Health Insurance. Health Portability and Accountability (HIPAA). In order to obtain a national provider identifier, you will need to apply. You can download an application and mail it in or fill out the application and apply online.

Instructions

Request by mail

1 Download the application from the Centers for Medicare & Medicaid Services website “at http://www.cms.hhs.gov/cmsforms/downloads/CMS10114.pdf.

2 Print the application and fill it out completely. In the application, include the name of a person or company, address, business and tax information, the signature of an individual professional, and the signature of the organization. If you are applying for the first time, check box # 1 on the first page of the application.

3 Submit the completed application to the NPI enumerator, PO Box 6059, Fargo, ND 58.108-6059.

Online application

4 Visit the National Plan and the numbering system provider’s website at https://nppes.cms.hhs.gov/NPPES/StaticForward.do?forward=static.instructions.

5 Gather the necessary information that you need to complete the application. National Plan and System Provider Enumeration states that if you are an individual provider, you will need to provide a name, address, date of birth, country of birth, location of practice information, type of provider and state license. If you are an organization, you will need to provide an employer identification number, organization name, name of the organization’s authorized official, practical location, type of provider, and the organization’s mailing address.

6 Scroll to the bottom of the page and click “Begin Application Form.” This will take you to another page where you can begin filling out the application.

7 Check the application to make sure you have completely completed the required sections. Click “Submit” to submit your review request.

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