NPI notification letter no longer needed for Medicare enrollment

When the Centers for Medicare & Medicaid Services (CMS) revised the Medicare enrollment application (CMS-855) in May 2006, the agency required all providers completing the form to include a copy of the National Provider Identifier (NPI) notification from the National Plan and Provider Enumeration System (NPPES). However, CMS recently announced a change to this policy effective Jan. 1, 2008. As a result of lobbying efforts by MGMA and others, providers do not have to include this notification with their CMS-855, unless their Medicare carrier specifically requests it. If Medicare carriers require this information, providers can submit a copy of their Details page from the NPI registry in lieu of a copy of the NPI notification.

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About the Author

Reed Tinsley CPA

This article is written by Reed Tinsley, a Houston, TX-based CPA with over 30 years of experience advising physicians and medical practices across Texas and the United States. Reed holds certifications as a Certified Valuation Analyst (CVA), Certified Healthcare Business Consultant (CHBC), and Certified Financial Planner (CFP), specializing exclusively in the healthcare sector. He is a published author, nationally recognized speaker, and trusted advisor to physicians on accounting & tax, practice management, and financial planning. Schedule a Free Consultation.