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Get Npi Collection
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How to fill out the NPI Collection online
The NPI Collection form is a crucial document for group practices seeking to collect necessary information regarding their providers. This guide provides step-by-step instructions to assist users in filling out the form accurately and efficiently online.
Follow the steps to complete the NPI Collection form successfully.
- Press the ‘Get Form’ button to access the NPI Collection form and open it in your preferred editing tool.
- In Section 1, begin with ‘Provider General Information’. Fill in the ‘Business Name’, ‘Doing Business As’ (if applicable), ‘Medicaid ID’, ‘EIN’, ‘NPI’, and ‘Taxonomy Codes’ as required.
- Proceed to Section 2, ‘NPI Information’. For each individual provider associated with your group, fill in their ‘Provider Name’, ‘Medicaid ID’, ‘NPI’, ‘SSN’, and relevant ‘Taxonomy’ codes. Make additional copies of this section if necessary.
- In Section 3, provide the ‘Primary Practice Location’ details. Input the ‘Address’, ‘City’, ‘State’, ‘ZIP Code’, ‘Phone Number’, ‘Fax Number’ (optional), and ‘Provider Email Address’ (optional) as entered in the NPPES.
- Next, complete Section 4, ‘Contact Information’. Enter the ‘Name of Individual Completing Form’, their ‘Phone Number’, ‘Fax Number’ (optional), ‘Contact Email Address’ (optional), and ensure to include the ‘Signature’ and ‘Title’ of the person authorized to provide information.
- Finally, read the NPI Collection Form Surety Statement, certifying that the provided information is complete and accurate to the best of your knowledge. After reviewing the form for any errors, save your changes, and you can choose to download, print, or share the completed form.
Take action now and complete your NPI Collection form online for efficient processing.
To find your NPI, you can search the NPI Registry online using your name or organization information. The NPI Collection service allows easy access to your details, ensuring that they are readily available for verification. If you cannot locate your NPI, you may need to check your application confirmation email or contact the NPPES for assistance. Keeping track of your NPI is essential for your practice.
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