NPPES FAQs — NPPES 0 documentation

NPPES FAQs¶

What is my NPI?¶

The National Provider Identifier ( NPI ) register can be accessed at hypertext transfer protocol : //epicentreconcerts.org and used to search for your NPI and corresponding information. All information produced by the NPI Registry is provided in accordance with the National Plan and Provider Enumeration System ( NPPES ) Data Dissemination Notice .

How do I apply for an NPI?¶

If you would like to apply for an NPI, please follow the steps below :

Applying Online:¶

To complete the on-line NPI application, you must first obtain an Identity & Access ( I & A ) User ID. You may obtain this User ID by accessing hypertext transfer protocol : //epicentreconcerts.org and completing steps 1-4 below : ?

  • Select the Create a Login link on the Individual Provider side of the National Plan and Provider Enumeration System (NPPES) Home page.

notice : You will be redirected to the I & A web site.

  • Follow the steps to complete your I & A registration .
  • once you have successfully obtained an I & A User ID, you may return to the NPPES Home page and log into the NPPES web site with your newly created I & A User ID .
  • Select the Submit a New NPI Application to begin the NPI application procedure .

Policy questions/NPI information¶

The National Provider Identifier ( NPI ) Enumerator is responsible for processing modern NPI applications and processing changes of information for previously enumerated providers. Per the Centers for Medicare and Medicaid Services ( CMS ), the NPI Enumerator is not permitted to provide guidance to you on regulative policy issues. These issues include but are not limited to questions related to subparting, sole proprietorship, and determining who is required or not required to obtain an NPI. You may wish to access the following web site for information regarding the NPI rule : hypertext transfer protocol : //www.cms.gov/Regulations-and-Guidance/Administrative-Simplification/NationalProvIdentStand/index.html If further clarification is needed, you may want to contact your Health Plans, Professional Society/Association or confer with your legal rede .

Assist – Web application¶

Please consult to appropriate area of application

Identifying Information- Organization- EIN¶

An Employer Identification Number ( EIN ) is assigned by the Internal Revenue Service ( IRS ) to identify a business entity. It may or may not be that business entity ’ s Taxpayer Identification Number ( TIN ). An SSN should not be entered in the EIN field .

Business Mailing and Practice Addresses¶

The National Provider Identifier ( NPI ) lotion requires both a Business Mailing Address and Business Practice Location Address to be listed. The Business Mailing Address can be the like as the Business Practice Location Address if the supplier can receive chain mail at the same placement where he/she practices .
Both the Business Mailing Address and Business Practice Location Address are made public via the NPI Registry on the National Plan and Provider Enumeration System ( NPPES ) and can be updated at any time .
Please keep in heed that the NPI Enumerator is not permitted to advise you of what particular address should be listed within the NPI record. If you have far questions on which address to list, please consult your employer or health plan contractor for further guidance .

Other Provider Identification Numbers¶

Legacy numbers may be entered in the other Provider Identifiers part of the National Provider Identifier ( NPI ) application. This section of the application is optional and you are not required to obtain bequest numbers for the function of applying for an NPI. The NPI Enumerator encourages Providers to provide this information, but if you are in doubt about whether to include them on your NPI application, please contact the health plans, with which you conduct business, for clarification. You may submit a maximum of 50 other Provider Identifiers when applying for the NPI .

Taxonomy¶

A taxonomy code is a code that describes the provider or Organization ’ second type, classification, and the area of specialization. You will find a complete number of taxonomy codes at www.wpc-edi.com/reference by selecting Health Care Provider Taxonomy Code Set connect. The code set consists of two parts : Individuals plus Groups of Individuals and Non-Individuals .

Assist – Change of information in record¶

once the initial application is enumerated and a National Provider Identifier ( NPI ) is assigned, there are two options to change/update the information on an NPI record .

Making Changes Online¶

Updates can be made on-line by accessing hypertext transfer protocol : //epicentreconcerts.org and completing the steps below :
note : The following changes can not be completed on-line and require a Paper Application/Update Form : Changes to Date of Birth, Changes to Social Security Number, Reactivation of an NPI and Deactivation of an NPI. Please follow the instructions below regarding making changes with a Paper Application/Update Form .

  • On the Home Page of the NPPES website, enter your I&A User ID and password

note : If you do not have the User ID and /or Password, follow the instructions outlined above. If you continue to have issues accessing your NPI ( randomness ), contact the NPI Enumerator at the call numeral listed below for far aid. Please be aware that there are privacy guidelines that govern to whom the NPI Enumerator can disclose information .

  • Select the “ Magnifying Glass ” ICON to View the hope NPI application .
  • Select the “Pencil” ICON to Edit the desired NPI application
    • Access the page that contains the information to be updated by selecting the ‘Next’ button located at the bottom of each page or by selecting the desired page from the left hand navigation bar.
    • Update the necessary information.
    • Once all desired information is updated navigate to the Submission page. Check the Certification Statement box at the bottom of this page.
    • Select Submit. This button will not be enabled until you check the Certification Statement box at the bottom of this page.

How do I change my Primary Taxonomy?¶

Adding, changing or Deleting a Taxonomy Code or Changing the elementary Taxonomy Online A provider can change the Primary Taxonomy on-line by accessing hypertext transfer protocol : //epicentreconcerts.org and completing the steps below :

  • On the Home Page of the NPPES web site, enter your I & A User ID and password .
  • Select the “ Pencil ” ICON in the Action column of the NPI you wish to modify .
  • Navigate to the Taxonomy page by either:
    • Selecting Taxonomy from the left navigation panel
    • Selecting Taxonomy on the top progression bar.
    • Selecting Next until you are navigated to the Taxonomy page.
  • To change the Primary Taxonomy code, select the radio release next to the Taxonomy to designate which of the codes listed is the primary Taxonomy .
  • To change or add a Taxonomy code:
    • Select Add Taxonomy.
    • Once you have selected the desired Taxonomy code, it will allow you to input an associated license and state of issue, if applicable.
    • Select Save to store the new information and return to a list of all Taxonomy and licenses currently on the record.
  • To delete a Taxonomy code:
    • Select Delete associated with the Taxonomy code you wish to remove.
  • navigate to the Submission page
  • blue-ribbon Submit .

What do I do if I cannot remember my password?¶

Select the FORGOT USER ID OR PASSWORD button on the on the Home Page of the NPPES web site, this will navigate you to the Identity and Access ( I & A ) system. If you remember your User ID but can not remember your password, you may reset your password by selecting the “ Forgot Password ” connection on the I & A sign In page and follow the instructions on the screen. You must either answer three of the challenge/security questions associated with the User ID, or enter the ask User Information associated with your account ( see an example screen shot below ).
note : After three abortive attempts to answer the three security questions, you will be required to enter the User Information associated with your score .

What do I do if I cannot remember my User ID?¶

If you can not remember your User ID, you may select the “ Retrieve Forgotten User ID ” link on the I & A sign In page and follow the instructions on the riddle. You must provide either a unique electronic mail address associated with your report to receive your User ID via electronic mail, or enter the command User Information associated with your account to view your User ID immediately.
note : If you retrieve your User ID without using your e-mail, you will besides be required to change your password .

When should a provider apply for an NPI?¶

Please consider the appropriate time in the summons for a supplier to apply for an NPI. Consider residents and interns. If your understand is that they are eligible to apply for an NPI but may not do so if they do not submit claims. This may be different in a order or referring scenario for Medicare. This may be different for early payers. steering as to when a provider should apply, given the nuances in the payer world as a hale, would be a beneficial stead to focus .

Why can’t I use my Type 2 NPI User ID and Password to log into NPPES to access my NPI?¶

NPPES now uses I & A to determine the Providers you have access to in NPPES. If you have access to a provider, you will have entree to all NPIs associated with the Provider .

How can I gain access to my Type 2 NPI?¶

You must first create an explanation in I & A. once you have successfully created your report if you are on an approve registration in PECOS, your Provider Organization will be automatically added to your profile. If your Provider Organization is not added to your profile, you can gain access to your Provider ’ s Type 2 NPI in I & A by doing the adopt :

  • Gaining access via I&A
    • If you are an employee/owner of the Provider Organization, you can submit an employer request.
      • If you request to be an Authorized Official, you must submit the required paper work to EUS for approval.
      • If you request to be an Access Manager, you can either have an existing Authorized Official approve your request, or you can submit the required paper work to EUS for approval.
      • If you request to be a Staff End User, you can either have an Authorized Official or Access Manager approve your request, or you can contact the Enumerators and request them to approve your employer request.

      Once your employer request is approved you will be able to log into NPPES with your I&A User ID and Password and have access to your Provider.

    • If you work for an organization that is a surrogate working on behalf of the Provider, you will need to ensure that there is an approved surrogacy connection between your employer and the Provider for the NPPES business function and that you have been granted access rights to the Provider.
      • If you are an approved Authorized Official or Access Manager for your organization you will automatically have access to all the NPIs associated with the Providers for which your organization has an approved surrogacy connection for the NPPES business function.
      • If you are an approved Staff End User, an Authorized Official or Access Manager for your organization must grant you access rights to the Provider for which your organization has an approved surrogacy connection for the NPPES business function.

I have a Type 2 account, what do I do?¶

Assuming that you have an AO and AM already existing, the following the below mentioned steps :

  • Create an I&A account
  • Add your organization as an employer to request to be a Staff End User
  • Have AO or AM approve your request
  • Once you have created an I&A account return to the NPPES sign-in page and use the credentials to login

I have a Type 2 account, but AO and AM are not defined, what do I do?¶

  • Create an I&A account
  • Add your organization as an employer to request to be a Staff End User
  • Contact the Enumerator to approve your Staff End User request, by calling them 1-800-465-3203 (NPI Toll-free) or 1-800-692-2326 (NPI TTY)
  • Once you have created your I&A account return to NPPES and login with your I&A User ID and Password

How do I deactivate my active NPI record?¶

If you would like to deactivate an active NPI, please follow the steps below :

  • Select the NPI Detactivate Icon NPI Deactivate ICON to deactivate the desired NPI application.
  • Enter the deactivation reason.
  • Select “Yes” for “Are you sure you want to deactivate this NPI? All enrollment associated to this NPI. In other CMS systems maybe impacted” pop up question.
  • NPI has been deactivated successfully message will be displayed.

What browser should I use to access NPPES?¶

The NPPES system is most compatible with the following browser :

  • Google Chrome V 6+
  • Microsoft Internet Explorer V 11+

Do I need to have my browser cookies enabled to access NPPES?¶

Yes, our system uses cookies for security purposes ensuring unauthorized users can not access our system. The cookies are not storing personally identifiable information about our users. For increase security to your bill, please make certain Cookies are enabled in your browser.

What is Multi-Factor Authentication?¶

Multi-Factor Authentication ( MFA ) combines two or more mugwump credentials : what the user knows ( password ), what the user has ( security token ) or what the exploiter is ( biometric verification ) to verify a user. The goal of MFA is to create a layer defense mechanism and make it more unmanageable for an unauthorized person to access a target such as a physical location, computing device, network, or database. If one component is compromised or broken, the attacker hush has at least one more barrier to breach before successfully breaking into the target .

Why is CMS implementing MFA?¶

CMS is improving identification and authentication security for the following 4 public facing applications : I & A, NPPES, PECOS, and HITECH .

How long will my MFA code last?¶

The MFA code will last between 5 minutes to 15 minutes. For SMS ( Text ) or Voice call, the code will be valid for 5 minutes. For Email, the code will be valid for 15 minutes. Users have the option to declare that the current calculator used to login is a individual calculator. In that case, the MFA validation will final for 24 hours. The user will still need to use his/her login certificate, but the drug user will not be prompted for MFA validation within that timeframe .

What are the benefits of using MFA?¶

Using MFA makes your exploiter authentication process more procure. For exercise, if your login certificate is compromised, your account will still be procure since the hackers will not be able to log into your account without having access to the second factor ( your earphone or your electronic mail ) .

What services will be affected by implementing Multi-Factor Authentication?¶

I & A, NPPES, PECOS, and HITECH will be affected by MFA because these applications use the lapp identity management system .

Do I need to use a mobile device to setup MFA?¶

No, you have the option to use a land line earphone or electronic mail address. I & A MFA supports three types of junior-grade authentication : SMS/TEXT, Voice call, and Email .

Does CMS gain control of my personally-owned mobile device once I enable MFA?¶

No. CMS lone sends the MFA verification code to your earphone or e-mail .

Who is required to use Multi-Factor Authentication?¶

All users who use CMS Identity and Access Management System ( I & A ) to log into their applications, this includes I & A, NPPES, PECOS, and HITECH, will need to set up an choice for MFA .

How do I start my MFA setup?¶

If you are an existing I & A user, you will be prompted with an option to setup your MFA devices when you log into the I & A application. You will have a grace period of up to 568 days to bypass setting up your MFA method acting ( randomness ) .
If you are a new I & A user, you will be prompted to setup your MFA method ( sulfur ) as you set up your bill. You will not be able to create an account in I & A if MFA frame-up is not completed .

What is the cut-off date where all NPPES users are required to use Multi-Factor Authentication to access NPPES?¶

As of 04/21/2022 all NPPES users will be required to use MFA in order to successfully log into NPPES .

How long is the grace period that NPPES users have before they are required to use MFA in order to successfully log into NPPES?¶

Users who log into NPPES after 12/09/2019, but before 04/21/2022, will have 568 days or until the cutoff date ( 04/20/2022 ) whichever is closer before they are required to use MFA in orderliness to successfully log into NPPES .

Am I required to set up two methods of MFA or just one?¶

Users are merely necessitate to set up one method acting of MFA but it is recommended to set up 2 methods of MFA ( e.g. : electronic mail, SMS/Text ) to have an alternate MFA method acting as a backing option in case the primary MFA method acting is experiencing difficulties or no longer in your possession .

What if I no longer have the phone or email that I have set up to use as my MFA?¶

Users can reset their MFA methods by logging into I & A ( User ID, Password ) and choosing the option to Reset MFA on the sieve. They must be able to correctly answer security questions or figure personal information in order to successfully reset their MFA .

What if my account is locked and I can no longer access the account?¶

Users can unlock their accounts by either correctly answering the security questions or providing personal data. If users fail to successfully answer security questions or provide personal information, then they must contact EUS avail desk .

Does MFA see my password?¶

No, your password will not be seen by the MFA service provider or the I & A administrator .

How Does Multi-Factor Authentication (MFA) Work?¶

Users will be guided by the application to set up their MFA methods in I & A. Once the MFA frame-up is confirmed, as the exploiter logs into the application with their User ID/Password certificate, an MFA verification code will besides be sent via the exploiter ’ mho preferred MFA method. Upon receiving the code from the MFA services the user will enter the code in I & A to verify the report .

What Devices Can I Use?¶

You can use : Mobile Phone ( SMS/Text or Voice ), land line call ( Voice ) and Email Address ( Email ) .

How many authentication devices/methods can I add?¶

You can add up to two authentication devices/methods, a primary authentication device/method and an alternative authentication device/method .

Can I use the MFA internationally?¶

Text/SMS and Voice Call only support US States and US Regions. Email support can be used when you are outside of the United States .

Can the system handle international phone numbers?¶

Text/SMS and Voice Call do not support external phone numbers. For international users, please add e-mail as your MFA method .

How long will my authentication last?¶

Applications authentication ( your unconstipated User ID/password certificate ) will time out after 15 mins of inaction for I & A and NPPES. ( note : We believe it is the lapp for PECOS and HITECH as mandated by CMS. ) MFA will expire as the applications authentication expires EXCEPT if the exploiter has declared that the stream computer/device in use is a private computer/device. In that case, the MFA authentication will be valid on the specify computer/device for that particular drug user for 24 hours .

Does the MFA email need to be the same as the email listed on the user’s I&A account?¶

Users are not required to use the electronic mail associated with their I & A report .

Does the private computer option remember your login; and what if more than one doctor uses the same computer for enrollment purposes?¶

The secret calculator consent is based on per exploiter per computer. If two users log in using the lapp computer, each user score will have a mention to the bill ’ mho cookies .

What happens if the MFA is never setup?¶

nothing will happen if the user never sets up MFA and the drug user never attempts to log into I & A. The next time the exploiter attempts to login, after their grace period and MFA cutoff date have passed, the drug user will be forced to setup MFA to access I & A .

Can a user setup MFA with the same primary and secondary MFA method?¶

The primary and secondary coil MFA methods have to be different. Users can not use two SMS/Text or two emails for MFA frame-up .

Does a company that completes applications on behalf of providers have to use MFA when accessing the provider’s accounts?¶

User ’ s should have their personal information associated to their I & A account information and establish surrogacy or employer connections as needed to allow others to work on their behalf in other CMS applications ( NPPES, PECOS, HITECH ). Each drug user should only control and access their own I & A account .

Are you required to setup MFA with your personal information if you manage the provider’s account and login on their behalf directly into their account?¶

MFA is required for all I & A accounts. It is not recommended for any drug user to log into a provider ’ mho I & A history. Each drug user should access their own I & A account using their private login data. Users are recommended to setup surrogacy connections and/or employer relationships in I & A to gain entree to manage the desire providers ’ information in the early CMS applications ( NPPES, PECOS, HITECH ) .

Is Practice Location office accessible to individuals with mobility disabilities? ¶

accessible locations include those where there are no architectural barriers to facility access by individuals with mobility disabilities .

Does the Practice Location office have exam rooms accessible to individuals with mobility disabilities?¶

accessible examination rooms allow patients with mobility disabilities to enter the room, move about inside the room, and utilize aesculapian equipment.

Does the Practice Location office have medical equipment accessible to individuals with mobility disabilities?¶

accessible medical equipment allows an individual with mobility disabilities to receive medical services equal to those received by a person without a disability such as diagnostic equipment, adjustable-height examination tables and chairs, wheelchair-accessible scales, adjustable-height radiologic equipment, portable floor and overhead track ski tow, and gurneys and stretchers .
To learn more about handiness chatter here .
FAQS ( frequently asked Questions )

Related Posts

Leave a Reply

Your email address will not be published.