8-Easy steps to completing your NPI application

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A step-by-step guide to NPI application completion

Congratulations on needing a National Provider Identifier (NPI) number! Because this clearly signifies an advancement in some form for you. The document itself is not so long, but some questions may be viewed differently, depending on each provider’s background. The goal of this post is to provide a step-by-step guide for first-time, individual online applicants to ensure a less stressful NPI application process. Unlike many other professional licenses, the NPI application is FREE! And your number would be available to you within 5-15minutes after application submission (for online applicants).

Contents

NPI Application: Ways to apply

There are three ways that you can apply for your NPI number:
       1. Via online at National Plan and Provider Enumeration System (NPPES) 
       2. Via mail by completing, signing, and mailing a paper NPI Application/Update Form to this address; 

           NPI Enumerator
7125 Ambassador Road, Ste 100
Windsor Mill, MD 21244

       3. By giving permission to an Electronic File Interchange Organization (EFIO) to send application data through the bulk enumeration process. (This is often the case when employed by large organizations).
The online application is mostly recommended because it is quicker and easier to track your status. It also affords you the opportunity to update several of your information on your own time.

What you will need:
  • Your PERSONAL email (not related to your job or school such as .edu, .org)
    • This will save you the agony of losing relevant information and communications in the event of a separation from your school or employer.
  • A JOB (employer or business address needed)
  • your State issued professional license (for nurse practitioners [NPs], this would be your State issued NP license number)
  • CMS account (or sign up for a new account)
Step 1: Apply for your NPI number online using this link, https://nppes.cms.hhs.gov/#/
  • You should see a home page similar to the one below.

    Terms and Conditions page
    NPI Application Pg 01-Terms and Conditions
  • Click the “Accept” button to proceed. The next page should look like this:
NPPES home page for creating an account
NPPES home page

The above is the home page for the National Plan and Provider Enumeration System (NPPES) which is responsible for assigning NPI numbers to providers. It is controlled by the Centers for Medicare & Medicaid Services (CMS).

If you previously created a CMS account, move on to the left-hand side and “Sign-in.” If you have NEVER signed up for an account, click the blue button that says ” CREATE or MANAGE an ACCOUNT” (see red arrow).
You will receive a Notice saying you will be redirected to create an account. Click “OK” to continue.

Step 2: Sign up for a CMS account
a redirection page
NPPES redirection page

You will be redirected to the CMS website to create an account. But first, you should receive a “Terms and Conditions” page. Click “Accept” to now proceed to the CMS home page as seen below;

CMS home page
CMS home page with red arrows showing where to click to create an account

Once on the above page, follow the red arrows and click the “Create Account Now.”
The next page should look like the one below;

CMS sign-up page
CMS Sign-up Page

Follow the prompts and set up an account. Once your account has been successfully created, you will need to return to the NPPES site to continue your application.

Step 3: Return to NPPES to resume your NPI application
This time, you will fill in your User ID and Password, then click Sign in.

Once you have successfully logged in, this is the page you should see;

medical professionals in smiling
NPI Application POST login page 1

Next, click on the blue button for “Apply for an NPI for myself.” This option allows you to apply as an “Individual Provider” for yourself and by yourself.

For an explanation of the other two options, click on the round yellow information button (Info Icon).

After choosing to apply for yourself, the next two pages that would show up are focused on your personal information (name, DOB, address, e.t.c).  Once you have completed them, see my further instructions for the remaining pages starting from page 3.
See the image of the completion tracker. below

Tracking tabs showing task completion

NPI Application Completion Tracker

Step 4: Complete the Health Information Exchange (HIE) page

This Health Information Exchange page is the singular page that can bring your NPI application to a standstill. For new applicants and newly employed providers, chances are, you have not received your work email yet. To avoid unnecessary delays to your application, JUST LEAVE THIS HIE PAGE AS IS (blank). DO NOT check the white box (see red arrow). The last question indicated by the “blue arrow” is set to “No” by default. Leave it as it is. If you notice it as a “Yes” you can change it to “No.” DO NOT click “SAVE” because you will get an error message, and not be able to proceed. If you already filled in any response(s), erase them all and scroll to the bottom of the HIE page, and click the “Next” button

NPI application health Information Exchange page
NPI application Health IE page

Additional instructions:

NPI Application Health Information Exchange Page
NPI Application with additional Health IE instructions

The next page is an optional page. I will attach it for your review. It is important to avoid clicking the “SAVE” button. Always scroll to the end of the page and click the “Next” or “CONTINUE” button based on availability.

NPI Application Other Identifiers
NPI Application Other Identifiers
Step 5: The Taxonomy page

This page requires you to identify your Professional specialty.  Since many medical professions have specialties/subspecialties, you should strive to choose the Taxonomy group that most closely aligns with your professional license or specialty of practice. Always remember to scroll to the end of the page and click the “Next” or “Continue” button.

NPI Application Taxonomy page
NPI Application Taxonomy page

This second page below is filled with directions on how to successfully complete the page.

NPI Application Taxonomy page
NPI Application Taxonomy page with completion instructions

Once you have successfully selected your taxonomy, the remaining boxes will populate based on your selection.

see below for additional examples:

NPI application taxonomy examples
NPI application Taxonomy examples
Step 6: Contact Information page[ps2id id=’contact-info’ target=”/]

This page would remain one of the most straightforward. The goal is to ensure the accuracy of your “personal contact” information. This is important in the event that the NPPES Team needs to reach you for any concern or clarification.

NPI Apllication personal information page
NPI application personal contact Information page
Step 7: The error check pag

This page is a summary of all the pages that you have completed. The pages that have no errors will be highlighted in the color “green.” While those with errors will be highlighted in “red” color; these will need to be revised and the errors corrected. You will not be able to submit your NPI application if any page was highlighted in red. In a situation like that, click on the red highlighted page and you will be automatically redirected to that particular page. The Test Model depicted in the image below has all pages highlighted in green.

NPI application error page
NPI Application Error Check page

once you have all your pages highlighted in green, move to the next page to certify all your entries before submitting your NPI application.

Step 8: Certification before submission[ps2id id=’cert-submit’ target=”/]

This page requires you to confirm that you have truthfully provided all the requested information. Check the white box on the bottom left corner, and click the “SUBMIT” button.

NPI application certification page
NPI application certification page

After submitting the above page, you will receive a “SUBMISSION CONFIRMATION” similar to this one;

NPI application submission confirmation page
NPI Application submission confirmation page!

Congratulations on getting to this page!

A few more things:
    • Print your confirmation page (see the red arrow)
    • keep note of your tracking number (green arrow)
    • Check your email within the first 1-2minutes after submitting
      • They really do send out the confirmation email fast. If you can not find it in your primary email folder, head over to your “junk” or “spam” folder to search for it.
        • If you did not receive a confirmation email within 30-60minutes from the time of submission, call or email the NPPES team (see above for their contact).

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