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. Licensed and unlicensed residents are expected to obtain a NPI number.
To complete an online application, you need to have a Social Security number. If you have a Social Security number and do not have a NPI, go to the National Plan & Provider Enumeration System website, complete the application and submit.
As soon as you receive your NPI number, update the NPI requirement in your MedHub Orientation package or submit to your Program Administrator to be entered into MedHub.
If you do not have a Social Security number, you must complete a paper NPI Application/Update form and mail it to the NPI Enumerator. In order to fill out the paper NPI Application/Update form, complete the steps below:
Note: If you do not furnish your SSN, you must furnish two (2) proofs of identification with the NPI Application/Update form. Acceptable forms of identification include: Passport, U.S. Issued Driver’s License, Birth Certificate, or U.S. State Issued Identification. In order to process the application, the two (2) proofs of identification must be translated into English.
Also, you must provide a Letter of Explanation stating:
Note: Failure to provide all necessary information may delay processing of the application.
Once the paper NPI Application/Update form is completed, it must be returned to the NPI Enumerator via mail to this address:
NPI Enumerator
P.O. Box 6059
Fargo, ND 58108-6059
NPI Application/Update forms received via email and/or fax will not be processed.
If you have questions send an email to customerservice@npienumerator.com or contact the NPI Enumerator at 1-800-465-3203 between the hours of 9 a.m. and 5 p.m. Eastern Time.