How To Apply For An Npi Number

Apply for National Provider Identifier (NPI)¶

Apply for a Type 1 individual Provider NPI or Type 2 Organization NPI. Individual Providers can only have one NPI, however, Organization Providers can have multiple NPIs.

Apply for an NPI for myself Button¶

Select the 'Apply for an NPI for myself' button if you are an individual who renders health care services. The NPI will be associated with you, not your specialty, or the location where you perform the service.

Upon selecting this button you will be navigated to the Provider Profile page with the provider information prepopulated from your I&A account.

Apply for an NPI for another Individual Button¶

Select the 'Apply for an NPI for another Individual' button if you are applying for an NPI for another individual who renders health care services. The NPI will be associated with the individual, not a specific location or specialty. Applying as: Upon selecting the Apply for an NPI for another individual Button, the system will display a popup window asking you to identify whether you are applying for an NPI as an employee of the provider or a surrogate for the provider.

As an employee of the Provider:

Upon selecting the radio button "As an employee of the provider" on the "Applying as" window, you will be navigated to the Provider Profile Page.

As a surrogate working on behalf of the provider:

Upon selecting the radio button "As a surrogate working on behalf of the provider" the system will ask you to identify which one of your employers is the surrogate organization. Upon selecting the employer you will be navigated to Provider Profile Page.

Apply for an NPI for an Organization Button¶

Apply for an NPI for another an Organization if you are applying for an NPI for an Organization that render health care services or a group practice or furnish health care supplies to patients. Applying as: Upon selecting the Apply for an NPI for another individual Button, the system will display a popup window asking you to identify whether you are applying for an NPI as an employee of the provider or a surrogate for the provider.

As an employee of the Provider

Upon selecting the radio button "As an employee of the provider" on the "Applying as" window, you will be navigated to the Provider Profile Page.

As a surrogate working on behalf of the provider

*Note: A Sole Proprietorship is not eligible for an Organizational NPI. If you are applying for an NPI for a sole proprietor please complete an Individual Provider application.

Manage Provider Information¶

Users will be able to view or modify NPI applications for the providers they have access to listed in a grid. If the provider has more than one NPI application, select the file icon in the Action column to view all NPIs associated with the provider.

Partially entered new NPI applications and changes to existing NPIs can be saved and submitted at a later time. However, after 30 days of inactivity (based on the last time the NPI application was updated), the request will be considered abandoned and the new application/changes will be discarded.

Users can filter the records provided in the grid by using the Search and Filter box functionality. Users can search and filter by relevant provider information displayed in the grid that includes, but is not limited to Provider's Name, Telephone Number and NPI (limited to those providers and organizations with only 1 NPI).

To search for an organization with more than 1 NPI users will need to use the Search by NPI feature. This feature will return a single NPI when only one NPI exists for the organization or provider or will return the grouping of NPIs for the organization with multiple NPIs that the NPI belongs to. The user can then select the organization and see all the NPIs associated to it. This search requires the entry of the full (10 digit) NPI number.

My Provider Information Grid: My provider information grid provides the following columns.

Status Definitions

Green - Active. NPI Application is enumerated and NPI is currently active.
Orange - Active with a Pending Change. NPI is currently active, but a change has been requested and is pending processing.
Grey - Pending (with or without errors). NPI Application received and is currently pending processing.
Blue - In Progress/Change request in progress. NPI Application or change has been saved but not submitted. After 30 days of inactivity (based on the last time the NPI was updated), the request will be considered abandoned and the new application/changes will be discarded.
Red - Rejected. NPI Application Denied.
None - Deactivated. NPI is inactive and will not be displayed.

Manage Account and Provider Access Button: Select the 'Manage Account and Provider Access' button to navigate to the Identity & Access (I&A) Management System. Select this button if you need to do any of the following functions:

Need to update your User Profile

Need to Manage Access to your Providers NPI(s)

Need to request access to a Provider's NPI(s)

Print Selection:¶

Upon selecting the 'Print' icon you will be provided the following version of the application to view:

The Current Active NPI Record version (prior to change) of the application

Recently Modified Record version of the application

Upon selecting the version of the application, you will be provided the following version of the application to print:

One Page Summary

Entire NPI application

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