PACE

Provider Bulletin

March 23, 2007

NATIONAL PROVIDER IDENTIFIER (NPI)

 

ALL PROVIDERS SHOULD HAVE OR BE IN THE PROCESS OF ACQUIRING THEIR NATIONAL PROVIDER IDENTIFIER (NPI) NUMBER.

 

The NPI number will be required for claim submission for all Programs beginning Tuesday, May 22, 2007.

Provider Re-enrollment documents are being mailed the week of March 26, 2007. The Provider’s NPI must be included on all returned Re-enrollments.

For those providers who have already notified the Program of their NPI number, PACE accepts the NPI as their provider number for claims processing. When using the NPI number for claims submissions, the claim must have the Service Provider ID Identifier changed from “99” to “01” in Field 202-B2. 

Providers who have not yet obtained their NPI may contact the NPI Enumerator for more information at:   

 


By phone:

By e-mail at:

   By mail at:

1-800-465-3203 (NPI Toll-Free)
1-800-692-2326 (NPI TTY)

customerservice@npienumerator.com

   NPI Enumerator
PO Box 6059
Fargo, ND 

   58108- 6059

 

 

 

PROVIDERS MAY APPLY FOR THEIR NPI THROUGH:

·        WEB BASED APPLICATION AT: 

   https://nppes.cms.hhs.gov

·        COMPLETE A PAPER APPLICATION AVAILABLE ON: https://nppes.cms.hhs.gov   or   CALL 1-800-465-3203 FOR A PAPER COPY.

 

·        WITH YOUR PERMISSION, YOUR PROFESSIONAL ORGANIZATION, ASSOCIATION OR EMPLOYER CAN SUBMIT AN ELECTRONIC FILE WITH YOUR INFORMATION ON YOUR BEHALF.

 

Providers: Contact your software vendor to insure you are able to submit your NPI number to the Program.