At 1ˢᵗ Credentialing we know that when our clients place their trust in us, we take that responsibility seriously by communicating with our clients to create a transparent and collaborative partnership.
Healthcare organizations of every size realize that hiring 1ˢᵗ Credentialing is the most economical and efficient way to solve their credentialing needs. We have the training, expertise and commitment it takes to keep a complex process moving forward at all times.
1ˢᵗ Credentialing supports healthcare practices of all sizes - from health systems, to community hospitals, to large group practices, to smaller organizations. We help get your providers up and practicing as fast as possible.
Learning more about the credentialing process benefits us and our clients. 1ˢᵗ Credentialing offers regular videos and newsletter updates to bring our clients and those interested in innovations in credentialing up to speed.
Frequently Asked Questions About National Provider Identifiers
A National Provider Identifier (NPI) is a unique 10-digit identification number that the Centers for Medicare and Medicaid Services (CMS) issues to U.S. health care providers. The NPI system was created to improve the effectiveness and efficiency of electronic transmission of health information, and covered health care providers and plans must use NPIs in their financial and administrative transactions.
Here are some frequently asked questions about NPIs:
Is there any pattern to the assignment of NPIs?No, there is no intelligence behind NPIs, such as the state in which health care providers operate or their medical specialty. NPIs are random numbers that are unique to the provider.
What are NPIs used for?These identifiers uniquely identify health care providers such as physicians, hospitals and suppliers in transactions including claims, prescriptions, coordination of benefits and inpatient medical record systems.
How can you get an NPI? You can apply online at this website or call 800-465-3203 to request a paper application.
Which healthcare providers must obtain an NPI?Those providers who are covered under HIPAA must get an NPI and use it in HIPAA transactions.
Is an NPI mandatory in order to enroll in Medicare?Yes – a Medicare enrollment application without an NPI will be rejected.
What are the benefits of an NPI? Some benefits include the ability to perform simple electronic transmission of HIPAA standard transactions, efficient coordination of benefit transactions and having standard and unique health identifiers for health care providers, plans and employers.
Must my personal information such as address and telephone number be available in the NPI database? The information in the database comes from the information that you supplied when applying for an NPI number. However, you can request to have NPI data removed. But NPI lookup service will still be available with your NPI number, city and state of practice along with credentials and your primary specialty.
If you require medical credentialing and payer enrollment needs for your practice or medical facility, please contact 1st Assistant. Our experienced and dedicated specialists will provide all credentialing and enrollment services quickly and will monitor your account for ongoing updates and re-attestations. Heidi Henderson, our company owner and President, is eager to meet you and discuss your payer enrollment needs. Please call us at 512.201.2668 or contact us via the website.
Our credentialing experts are here to help you assess exactly which solutions you need and let you know how inexpensively we could put you on the right track. 1ˢᵗ Credentialing includes primary source verification and payor enrollment for all insurance networks including Medicare, Medicaid, Medi-Cal and insurance networks. Don’t wait another minute, contact our terrific team today!