How Does a Provider Get an NPI?
Covered health care providers can obtain an NPI through one of three options. Application is the process of requesting and receiving an NPI. The three application options are: 1) paper application, 2) Web application and 3) electronic file interchange (EFI). • Paper application – The paper application is available at the Centers for Medicare & Medicaid Services Web site and through the mail from the NPI Enumerator. The Enumerator is a contractor hired by the CMS to facilitate the assignment of NPIs to health care providers. The application should be completed, signed and mailed back to the Enumerator (retain a copy for your records). The key application data elements are as follows: • Provider name • Other name used (if applicable) • Practice location, address and phone number • Mailing address and phone number • Social Security Number (or alternative proof of identity for individuals) • Employer Identification Number (for organizations) • Date, state, country of birth and gender (for
