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  2. Who Must Get an NPI? All health care providers who are HIPAA-covered entities, whether individuals or organizations, must. get an NPI. A HIPAA-covered entity is a: • Health care provider that conducts certain transactions in electronic form • Health care clearinghouse • Health plan (including commercial plans, Medicare, and Medicaid)

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  3. Sep 7, 2023 · How to obtain an NPI number. Three are three ways to apply for an NPI number: online, by mail, or through a third party. Apply online - You can apply for an NPI number through the National Plan and Provider Enumeration System (NPPES) website. You need an Identity & Access (I&A) User ID to complete the NPI application.

  4. Jun 29, 2023 · Whether you plan to work in a private practice, in a hospital, or as a locum tenens physician, all healthcare providers who are HIPAA-covered entities — and those who bill Medicare for their services — must have a National Provider Identifier (NPI).

  5. Sep 10, 2024 · The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers.

  6. The NPI is used by healthcare providers to identify themselves and other healthcare providers in healthcare transactions or correspondence. It may be used by pharmacies to identify providers on prescriptions (the NPI does not replace a DEA number).

  7. May 23, 2007 · You will need an NPI prior to enrolling with Medicare. There are two types of health care providers in terms of NPIs: n Type 1 — Health care providers who are individuals, including physicians, dentists, and all sole proprietors. An individual is eligible for only one NPI.

  8. This booklet answers the following questions to help you become more familiar with the NPI: • What is an NPI? • Who may obtain an NPI? • Who must obtain an NPI? • Who may not obtain an NPI? • What are the health care provider NPI categories? • How do you apply for an NPI? • Where can you find resources with additional information ...

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