National Provider Identifier Tip

03.06

When applying for your National Provider Identifier (NPI) number, CMS urges you to include your legacy identifiers, not only for Medicare, but for all payers. If reporting a Medicaid number, include the associated State name. This information is critical for payers in the development of crosswalks to aid in the transition to the NPI.

New Educational Products

CMS has released three new educational products on the National Provider Identifer (NPI) Suitable for All Health Care Providers

  • A Subparts Fact Sheet that contains high-level information on Medicare's guidance on subpart designation. Although the guidance is geared toward Medicare organization providers, non-Medicare organization providers may find it helpful.
  • An Electronic File Interchange (EFI) Fact Sheet that contains basic information and links to helpful resources that will prepare providers and their staff for the release of the EFI system. This information is essential for organizations that wish to submit electronic files for bulk enumeration, and may be of interest to any health care provider for whom an organization will be submitting NPI application data.

Suitable for Medicare Providers

  • A MLN Matters Article (SE0608) that takes a detailed look at Medicare's guidance on subpart designation and the impact on Medicare providers.

To view these new products, as well as existing products such as: four MLN Matters articles, two fact sheets and the NPI Viewlet, visit the Educational Resources link.

For more information on private industry NPI outreach, including upcoming meetings, visit the Workgroup for Electronic Data Interchange (WEDI) NPI Outreach Initiative.