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.
Learn More about NPIs with these 7 Frequently-Asked Questions
If you are a healthcare provider covered under HIPAA, or if you file claims or use a clearinghouse to bill insurance, then you are required to apply for a National Provider Identifier (NPI). This unique, 10-digit identification number is issued by the Centers for Medicare and Medicaid Services (CMS). Other healthcare providers that are not required to apply for an NPI may do so if they desire.
The NPI system was created to improve the electronic transmission of health information by making it more efficient and effective. Covered healthcare providers and plans are required to use NPIs in their administrative and financial transactions.
Frequently-Asked Questions about NPIs
How are NPIs assigned? Is there any logic to the assignments? NPIs are entirely random and don’t have any pattern or logic, such as a medical specialty or geographic region.
How do I apply for an NPI? Apply online at this website or call 800-465-3203 to request a paper application.
NPIs are mandatory for which healthcare providers? Those covered under HIPAA must use an NPI in HIPAA transactions.
What are NPIs used for? As NPIs uniquely identify healthcare providers such as physicians, hospitals and suppliers, they are used in transactions including claims, prescriptions, inpatient medical record systems and coordination of benefits.
Is an NPI required to enroll in Medicare? A Medicare provider enrollment application without an NPI will be rejected.
Are there benefits to having an NPI? Yes, benefits include the ability to perform simple electronic transmission of HIPAA standard transactions, having standard and unique health identifiers for healthcare providers, plans and employers, and efficient coordination of benefit transactions.
Once I supply personal information like address and telephone number, must it be available in the NPI database? The database draws information from NPI applications, but you can request that NPI data be removed. However, NPI lookup service must be available with your city and state of practice, specialty and credentials linked to your NPI number.
Let Us Manage All Your Payer Enrollment and Credentialing Services
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, Vice President of Credentialing, 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!