Provider Manual

NATIONAL PROVIDER IDENTIFIER (NPI)

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).

All HealthCare Provider must register an NPI number with the Department of Human Services (DHS). Please see the following links on how to register

Carelon National Provider Identifier (NPI) frequently asked questions