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*Provider # OPTIMA BEHAVIORAL HEALTH Provider Update Form (Optima use only) Please fax to: 757-552-7114 - Hampton Roads/NC 804-510-7459 - Central/Western VA Change Requested: Changing Practice Physical.

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(2) Deactivating your NPI requires that you send a letter (literally snail mail) to have it reactivated. You can't re-activate online because your NPI entry disappears from the table. And a letter request for reactivation with CMS could take weeks, even months, at a minimum.

As CMS explains, a provider's 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.”

Go to https://nppes.cms.hhs.gov/#/ to update your NPI address. 2. If you forgot your User ID or Password on the NPPES (NPI) website: Click on the “Forgot User ID or Password?” button and follow the instructions. Once you have reset your User ID or password, log out of the website.

A health care provider (or the trustee/legal representative of a health care provider) should deactivate its NPI in certain situations, such as retirement or death of an individual, disbandment of an organization, or fraudulent use of the NPI.

Your NPI is yours for life and will never expire or be recycled and assigned to a different health care provider.

If your NPI status is Deactivated, you are only permitted to perform the Change Password function. You may not update NPI data for a deactivated NPI. Please contact the NPI Enumerator at (800) 465-3203 if you wish to reactivate your NPI.

➢ What if I need to update my information (e.g. my NPI# is linked to my license from another state)? To update your information for an existing NPI#, go to https://nppes.cms.hhs.gov to sign in to and edit your NPPES account.

Information associated with NPIs is updated daily. If the record being viewed has any changes pending, the pending information will not be presented.

Updates can be made online by accessing https://nppes.cms.hhs.gov and completing the steps below: NOTE: The following changes cannot be completed online and require a Paper Application/Update Form: Changes to Date of Birth, Changes to Social Security Number, Reactivation of an NPI and Deactivation of an NPI.

To make an online change, go to https://nppes.cms.hhs.gov and follow the steps provided below: NOTE: Changes to Date of Birth, Social Security Number, Reactivation of an NPI, and Deactivation of an NPI cannot be completed online and require a Paper Application/Update Form.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232