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(09) Credentialing–National Plans & Provider Enumeration System

Description:

The Administrative Simplification provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandated the adoption of a standard unique identifier for health care providers. The National Plan and Provider Enumeration System (NPPES) collects identifying information on health care providers and assigns each a unique National Provider Identifier (NPI).

Toolkit:

Billing for Clinical Services

Keyword Area:

Billing, Credentialing, Immunization

Jurisdiction:

Institutional Author:

National Plans & Provider Enumeration System

Submitted:

08/17/2012

Modified:

02/27/2014

The NACCHO Toolbox is a repository of available resources to help local public health practitioners. Tools are produced by local, state, and federal agencies, as well as academic institutions and other stakeholders. The contents of this Toolbox are solely the responsibility of the authors and do not necessarily reflect any official recommendations of NACCHO. NACCHO makes no express or implied warranty with respect to the contents and disclaims liability for any damages arising from or connected to the use of the material in this Toolbox.