What Is NPI?

NPI, short for National Provider Identifier, is a unique 10-digit identifier issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). This identifier is used for all types of health care providers, including physicians, physician assistants, chiropractors, nurse practitioners, physical therapists, and others.

Why Is NPI Important?

NPI is important because it serves as a primary identifier of health care providers. This identifier is used to track and verify patient care, billing/payment information, and compliance with HIPAA regulations. By having a standardized, national identifier, health care providers are able to securely share information and data across multiple systems and networks, ensuring accuracy and consistency of documents. In addition, this identifier is also used to verify provider credentials, monitor health care quality, and winnow out fraudulent providers or inaccurate information.

How Do I Get an NPI Number?

Any health care provider who wishes to have a National Provider Identifier can apply for one from the Centers for Medicare and Medicaid Services (CMS). To do this, a provider must complete and submit an application for an NPI along with any necessary supporting documents. The application process can take anywhere from a few days to several weeks depending on the type of provider. Once the application is approved, the provider will receive the NPI number, which can then be used for identifying information.

Overall, the National Provider Identifier serves an important function in the health care industry by providing a standard, secure means of verifying provider credentials and data. By having a uniform identifier, providers are able to cross-reference information and ensure that all patient care meets the highest standards of quality.