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Getting an NPI
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  1. Who can apply for an NPI?
    • Individual health care providers, such as physicians, dentists and pharmacists.
    • Organizational health care providers, such as hospitals, pharmacies, group practices, laboratories, ambulatory care facilities and nursing homes.

  2. How can a health care provider apply for an NPI?
    The Centers for Medicare & Medicaid Services (CMS) has contracted with a vendor to administer the assignment of NPIs and deal with health plans and providers on issues concerning unique identification.

    There are only three ways a health care provider can apply for an NPI:
    • Complete the application online at https://nppes.cms.hhs.gov. Estimated time to complete the NPI application is 20 minutes.
    • Call 1-800-465-3203 to request a paper application.
    • With the provider's permission, an organization may submit the application in an electronic file on behalf of the provider.

  3. Will nonparticipating provider NPIs be collected by Aetna?
    Yes, we encourage all providers to obtain, share and use their NPI, regardless of their participation status or transaction submission method.
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