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This version of the form is not currently in use and is provided for reference only. Download this version of
Form CMS-10114
for the current year.
Form CMS-10114 National Provider Identifier (Npi) Application / Update Form
What Is Form CMS-10114?
This is a legal form that was released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services on June 1, 2018 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the Form CMS-10114?
A: The Form CMS-10114 is the National Provider Identifier (NPI) Application/Update Form.
Q: What is the National Provider Identifier (NPI)?
A: The National Provider Identifier (NPI) is a unique identification number for healthcare providers.
Q: What is the purpose of the Form CMS-10114?
A: The purpose of the Form CMS-10114 is to apply for or update a National Provider Identifier (NPI).
Q: Who needs to fill out the Form CMS-10114?
A: Healthcare providers who need a National Provider Identifier (NPI) or need to update their NPI information need to fill out the Form CMS-10114.
Q: What information is required on the Form CMS-10114?
A: The Form CMS-10114 requires information such as personal identification information, healthcare provider information, and information about the healthcare provider's practice.
Q: How long does it take to process the Form CMS-10114?
A: Processing times can vary, but it generally takes about four to six weeks to process the Form CMS-10114.
Q: Is there a fee to submit the Form CMS-10114?
A: No, there is no fee to submit the Form CMS-10114.
Form Details:
- Released on June 1, 2018;
- The latest available edition released by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form CMS-10114 by clicking the link below or browse more documents and templates provided by the U.S. Department of Health and Human Services - Centers for Medicare and Medicaid Services.
Download Form CMS-10114 National Provider Identifier (Npi) Application / Update Form
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