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NPI submissions

Use this form to submit National Provider Identifiers (NPIs) to us. The NPI is a 10-digit number issued by the Centers for Medicare & Medicaid Services. Once assigned, an NPI is permanent and remains with the provider. An NPI must be used in HIPAA standard transactions.


If you need to submit NPIs for six or more providers, we will send you a submission spreadsheet to fill out and return.


All fields marked with an asterisk (*) are required.

*Choose an option for submitting National Provider Identifiers (NPIs)

Provider contact information

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Formatted as
Format as xxx-xxx-xxxx

Legal notices

Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna).

Health benefits and health insurance plans contain exclusions and limitations.

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