Updating npi

Mirean Coleman, LICSW, CT Senior Policy Associate July 2007 Implementation of the National Provider Identifier (NPI) number began on May 23, 2007.Clinical social workers who submit paper or electronic claims are required to obtain the NPI which is a 10 digit numeric number that identifies the provider who provides the service or is submitting a claim for reimbursement.If you do not qualify as a large organization, continue reading.Choose whether to file the application to update your NPI online or by mailing in a paper application. If you want to submit a paper application, go to the main NPI site to download and print form CMS 10114.The National Provider System (NPS), being built under a CMS contract, will process the applications and updates, ensure the uniqueness of the health care provider, and generate the NPIs.A single entity, known as the enumerator, and performing under a CMS contract, will operate the National Provider System (NPS).

Provider attestation can be completed under the “I would like to…” web page, which is accessed from most provider web pages on the TMHP website at .

If you already have your national provider identifier (NPI), but have recently changed your office contact numbers, address or contact person, you will need to update your NPI as soon as possible.

Depending on whether you qualify as an individual or small group practice, or are considered a large organization, your qualification will determine how you can update your NPI of record.

It will contain no embedded information about the provider. Covered entities must use only the NPI to identify providers in standard transactions (e.g., filing and processing health care claims and other transactions).

Legacy provider identification numbers (e.g., BCBS, CHAMPUS, Medicaid number, etc.) will not be permitted.

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