NPI
How do I get an NPI?
If you're in healthcare, you've probably heard of the National Provider Identification (NPI) number. It's a unique 10-digit number assigned to healthcare providers in the United States. But what is it for? And how do you get one?
The NPI is a standard identification number for healthcare providers. It's used by Medicare, Medicaid, and other health insurance plans to identify providers in claims and payment processing. The NPI is also used by electronic health records (EHR) systems to identify providers.
The NPI is assigned by the Centers for Medicare and Medicaid Services (CMS). To get an NPI, you must first complete an NPI application. The application is available online at the CMS website.
Once you've completed the application, you'll receive your NPI number within 10 business days. You can then start using it to identify yourself to Medicare, Medicaid, and other health insurance plans.
If you're a healthcare provider, the NPI is an important part of your professional identity. It's a unique number that helps ensure you're accurately identified in claims and payment processing. It also allows you to use electronic health records. So if you don't have an NPI yet, be sure to complete the application and get your number.
What is NPI?
NPI stands for National Provider Identifier. It is a unique 10-digit number assigned to healthcare providers in the United States for the purpose of identifying them in a standard way.
The NPI is used by HIPAA-covered entities (such as health plans, health care clearinghouses, and certain health care providers) to identify health care providers in HIPAA standard transactions. These transactions include claims and encounter information, eligibility for a health plan, and referral authorization.
The NPI is also used by the Centers for Medicare and Medicaid Services (CMS) to identify physicians and other health care providers who participate in the Medicare and Medicaid programs.
The NPI is not a replacement for the unique provider identifier (UPI) that is assigned by individual state Medicaid agencies. Medicaid providers will continue to use their state-assigned UPIs to identify themselves in Medicaid transactions.
The NPI is intended to be used in standard transactions, such as claims and encounters, as well as in non-standard transactions, such as provider directories.
The NPI does not replace any other provider identifiers that may be used in non-standard transactions.
The NPI is not a license number and does not grant permission to practice medicine.
The NPI is not an assignment number.
The NPI does not indicate quality of care.
The NPI is not a credential.
The NPI is not a certification.
The NPI is not a guarantee of reimbursement.
The NPI is not a guarantee of payment.
The NPI is not a guarantee of participation in a health plan.
The NPI is not an indication of board certification.
How do I use NPI?
The National Provider Identifier (NPI) is a unique 10-digit identification number that is assigned to healthcare providers in the United States. Healthcare providers can use the NPI to identify themselves when providing healthcare services and submitting claims to health insurance plans.
The NPI is used by healthcare providers to ensure that they are correctly identified when submitting claims and interacting with health insurance plans. The NPI is also used by health insurance plans to identify providers when processing claims.
Healthcare providers can use the NPI to identify themselves in a variety of ways, including on their business cards, in their email signature lines, and on their websites. When providing healthcare services, providers should include their NPI on all claims and correspondence with health insurance plans.
Providers can obtain their NPI by registering with the National Plan & Provider Enumeration System (NPPES). NPI registration is free and can be completed online.