Updating npi

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As outlined in the Federal Regulation, The Health Insurance Portability and Accountability Act of 1996 (HIPAA), covered providers must also share their NPI with other providers, health plans, clearinghouses, and any entity that may need it for billing purposes.

The National Provider Identifier (NPI) is meant to be a lasting identifier, and is expected to remain unchanged even if a health care provider changes his or her name, address, provider taxonomy, or other information that was furnished as part of the original NPI application process.

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If you need additional help, you can contact the NPPES: NPI Enumerator PO Box 6059 Fargo, ND 58108-6059 1-800-465-3203 [email protected], you can use this paper form to update your NPI record, but it may take between three to six weeks to process: 60 days after your NPI record has been updated, your address will be fixed on the websites that refresh NPI data regularly.

If you wish to file the paperwork online, go to the NPI site using the link at the bottom of this article.

Either way, the information required to fill out the forms will be the same.

Many health plans, including Medicare, Medicaid, and private health insurance plans, and all health care clearinghouses are now required to accept and use NPIs.

Even if you do not bill for services, you may need to disclose your NPI to those providers who do (e.g., providers who order lab tests or send patients for diagnostic testing must be identified on the lab's or testing facility's claims).

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