The Provider Identifier.
Type 1 and Type 2 - the numbers that identify your practice on every claim.
- Lessons
- 11
- Running time
- 31 min
- Includes
- PDF guide
Colorado Trail, Engineer Mountain
Eleven lessons, in order.
Each lesson stands on its own, 31 min in all. Start at the first waypoint, or go straight to the one you need.
-
Introduction
The Claim Form
Pull up a chair to the CMS-1500 - the form behind nearly every professional claim, and where this module begins.
2 min Start -
Lesson 2
What Is an NPI
A 10-digit number CMS assigns through NPPES - yours forever, never changing, never expiring.
2 min Start -
Lesson 3
Type 1 vs Type 2
Two distinct NPI types, where each lands on the form, and why a permanent entity-type choice can quietly drain cash flow.
3 min Start -
Lesson 4
Who Needs an NPI
If you provide health care, you need one - and in behavioral health it reaches further than most people realize.
3 min Start -
Lesson 5
NPPES & I&A
The two systems you will actually work in to get an NPI - and why people constantly mix them up.
3 min Start -
Lesson 6
The Application
Three ways to apply, the three choices NPPES gives you at login, and the 30-day clock that throws out an unfinished application.
2 min Start -
Lesson 7
What You Need
Everything to gather before you sit down - the legal name that has to match character for character, taxonomy, addresses, and who gets the confirmation.
5 min Start -
Lesson 8
Keeping It Current
The 30-day federal rule for reporting changes to your NPI record - and where organizations get into real trouble.
4 min Start -
Lesson 9
When You Are the Business
Sole proprietor, one NPI, and why NPPES asks for your SSN after you just got an EIN.
3 min Start -
Lesson 10
What Is Public, What Is Permanent
Your SSN stays withheld - your addresses do not. The P.O. Box that shields a home practice.
2 min Start -
Closing
The Chain Continues
Back to the claim form - Box 25 from the last module, and the NPI boxes 17, 24J, 32a, and 33a you now understand.
1 min Start