Your NPI Information/Address May Be Wrong

Your NPI is your provider identity—if your address is outdated, it can disrupt claims and compliance. Log in to NPPES today to verify and update your information to avoid costly issues.

Referenced Link:

https://nppes.cms.hhs.gov/login

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Transcript:

While working on a huge data project involving NPI numbers and NPPES, we noticed some significant things that we want to make you aware of and some action that you need to take today. First of all, if you have moved since you originally got your first NPI number. Now, this could mean you got a new job, your practice is moved, or maybe you got your NPI number before you ever even opened up your practice, and you use your home mailing address or something along those lines. You want to make sure that you have updated this information. Your NPI number kind of is that driver that identifies you as a provider gives you that unique approach on your claim forms and in all kinds of communications, including communications with your patients in the good faith estimates and things along those lines. So you want to make sure that your address is up to date.

During the middle of this huge data project that we’re working on, we noticed that a number of our doctors across Illinois and, quite candidly, across the country, have not updated their information and their address information, so you need to jump out to NPPES, which is where you originally first got your NPI number. Some of you may never have gone back out there, but go to nppes.cms.hhs.gov, and at that point, you’re able to log in using your information.

Now you may have to click the Forgot Password. That’s how you can remember how to get access to there. Or everything that has been told to us by our members who run into some challenges getting in is their their help line or their customer service line is actually really, really good with NPPES, so you can call them and they’ll help make sure that you’re able to get access to your information after they go through a whole litany of verification processes, but you want to make sure that your mailing address and your practice location are all up to date.

Now, you may have multiple fields because you may have multiple licenses in different states, or you may have a business NPI or a group NPI. Also, in that login, make sure that all of your different NPI numbers have been updated appropriately. That’s important. Again, remember, this is your identifier. This is what you put on claim forms, and you try to make sure that all of your information across the board is matching. So make sure that your NPI information is up to date, and again, once you get into NPPES, you’ll see how to do this, but you’ll see an individual line for each one. There’s even a little pencil icon for the ones that you need to update. Click the pencil icon on the right-hand side, and at that stage, you’ll be able to go in and edit that information appropriately as you need to to again, to align your mailing address and your practice locations. We’ll catch you next week.