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How do I apply for an NPI individual provider?

How do I apply for an NPI individual provider?

Option 2: Complete, sign, and mail a paper application Form CMS-10114, NPI Application/Update Form to the NPI Enumerator address listed on the form. To request a hard copy application through the NPI Enumerator, call 800-465-3203 or TTY 800-692-2326, or send an email to [email protected]

How do I get an NPI number in Washington state?

To obtain your National Provider Identifier, go to http://nppes.cms.hhs.gov/ or call customer service at 800.465. 3203. Questions about the status of an NPI Application may be emailed to [email protected]

Do I need a Type 1 or Type 2 NPI?

If you are an individual doctor or solo practitioner, you will need to start with a Type 1 NPI. Your individual NPI is akin to your social security number. A Type 2 NPI is for group practices from large to small. Most group practices that supply superbills to their patients should have a Type 2 NPI.

What is a Type 1 solo NPI?

Type 1 is for the provider. This is the only type of NPI you will need if you receive payments in your name or under your social security number as a solo practitioner. For practices with multiple dentists, obtain a Type 1 NPI for each dentist.

What are the different types of NPI numbers?

NPI Type: There are two types of NPI numbers. Type 1 NPIs are assigned to individual providers. Type 2 NPIs are assigned to Organizational Providers. Status: Identifies if the NPI is Active or Deactivated.

Do I need a new NPI for each location?

Technically, no—but it’s strongly recommended that individual practitioners obtain their own NPIs, because, as CMS states, “… there are situations where an individual NPI is specifically needed by some health plans to process claims.”

How to apply for National Provider Identifier number ( NPI )?

The paper application process takes approximately 20 business days. To obtain your National Provider Identifier, go to http://nppes.cms.hhs.gov/ or call customer service at 800.465.3203. Questions about the status of an NPI Application may be emailed to [email protected]

When to use a NPI in Washington State?

Historically, behavioral health providers in Washington State have primarily used their organizational NPI when billing for services under the Medicaid program.

How to enroll as a provider in Washington State?

Complete the supplemental paperwork for your provider type. Use our enrollment manuals to complete your enrollment in the ProviderOne application. Download our instructions for adding Billing Type and Available Agencies in ProviderOne. Review our new provider next steps.

Who is a billing provider in Washington State?

A billing provider is a health care provider that wishes to participate in fee-for-service (FFS) and/or will be submitting claims under their own NPI for reimbursement. In Washington, unless the provider is a sole proprietor, most behavioral health agencies use their organizational NPI as the billing NPI. 2