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National Plan

National Plan and


and Provider
Provider Enumeration
Enumeration
System (NPPES)
System (NPPES)

Getting
Ready for the
new NPPES
I&A / NPPES Surrogacy
Impact on Type 1 NPI Accounts

Can I access my Type 1 NPI Yes, you can access your Type 1
record if I have an account NPI record as normal.
in I&A?

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I&A / NPPES Surrogacy
Impact on Type 1 NPI Accounts

Can I access my Type 1 NPI Create an I&A account. Your


record if I do not have an Type 1 NPI record will
account in I&A? automatically be associated
with your I&A account.

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I&A / NPPES Surrogacy
Impact on Type 1 NPI Accounts

What if I am an AO/DO and All users who have been granted


have been granted the access to the NPPES business
NPPES (future) business function can access the providers
function for one or more Type 1 NPI record in NPPES.
users in I&A?

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I&A / NPPES Surrogacy
Impact on Type 1 NPI Accounts

Can I access a providers As an approved surrogate, you will


Type 1 NPI if I am an be able to access the providers
approved surrogate for an Type 1 NPI record in NPPES.
individual provider for the
NPPES business function?

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Impact on Type 2 NPI Providers
User ID & Passwords

Type 2 User ID(s) and Password(s) will become


Can I access a Type obsolete. You will need to obtain an I&A User ID
2 NPI using the and Password to access the Type 2 NPI in
current NPPES NPPES.
User ID and
Password? NPPES now uses I&A to determine the NPIs you
have access to in NPPES. Log into NPPES
using your I&A credentials (User ID and
password). If you have access to a Provider in
I&A, you will have access to all NPIs associated
with that Provider.
To learn more about how to create I&A account, click
here:
https://nppes.cms.hhs.gov/IAWeb/warning.do?fwdur 6
Impact on Type 2 NPI providers
Authorized/Delegated Officials

Can I access Type 2 NPI(s) Yes, you can access all NPIs under
for an organization with an the EIN of your organization in
EIN if I am an existing AO/DO NPPES.
for that organization in I&A?

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Impact on Type 2 NPI Providers
Authorized/Delegated Officials

How can I If the organization has more than 5 NPIs follow the
steps below:
access the
NPI(s) for my 1. Log into I&A.
organization as Note: If you do not have an I&A account, you must
a Staff End User create one.
(SEU) if there is 2.Under My Profile select Add an Employer.
NO existing 3.Add the organization as a Staff End User (SEU).
AO/DO in I&A?
4. Contact the Enumerator to approve your SEU request,
by calling them 1-800-465-3203 (NPI Toll-free) or 1-800-
692-2326 (NPI TTY).
5. Once your request is approved, return to NPPES and
sign in with your I&A credentials. 8
Impact on Type 2 NPI Providers
Authorized/Delegated Officials

How can I access the If the organization has 5 NPI accounts or


NPI(s) for my fewer follow the steps below:
organization as a Staff
End User (SEU) if there 1. Log into NPPES.
Note: If you do not have an I&A account, you
is NO existing AO/DO must create one.
in I&A?
2. Select the Access Type 2 NPI button.
3. Enter the required information.
4. The organization NPI record(s) will automatically
be associated with your I&A account as a Staff
End User (SEU).
(See slide 14 for information needed)
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Impact on Type 2 NPI Providers
Authorized/Delegated Officials

If I am the AO/DO of an 1. Log in to I&A as an


organization with an EIN, Authorized/Delegated official
how do I connect my 2. Go to the My Staff page and grant the
staff end user (SEU) to SEU access to the EIN of your
the Type 2 NPI? organization.

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Impact on Type 2 NPI Providers

How can I access my You must first create an account in I&A. Once
Type 2 NPI as a you have successfully created your account if
you are on an approved enrollment in PECOS,
Surrogate?
your Provider Organization will be automatically
added to your profile. If your Provider
Organization is not added to your profile, you
can gain access to your Providers Type 2 NPI
by doing one of the following:

1. Gain access via I&A as a Surrogate


2. Log into NPPES and gain access to your
organizations NPIs

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Impact on Type 2 NPI Providers

1. Log into I&A.


How can I access my Note: If you do not have an I&A account, you must
Type 2 NPI if I am an create one
employee/owner of the 2. Under My Profile select Add an Employer.
Organization? 3. Add the organization as an Authorized Official or a
Delegated Official.
If you request to be an Authorized Official, you
must submit the required paper work to EUS for
approval
If you request to be a Delegated Official, you can
either have an existing Authorized Official
approve your request, or you can submit the
required paper work to EUS for approval
4. Once your request is approved, return to NPPES
and sign in with your I&A credentials. 12
Impact on Type 2 NPI Providers

If you work for an organization that is as a surrogate


How can I access working on behalf of the Provider, you will need to ensure
my Type 2 NPI if I that there is an approved surrogacy connection between
your employer and the Provider for the NPPES business
work for an function and that you have been granted access rights to
organization that is the Provider.
a surrogate If you are an approved Authorized Official or Delegated
working on behalf Official for your organization you will automatically have
of the Provider access to all the NPIs associated with the Providers for
organization? which your organization has an approved surrogacy
connection for the NPPES business function
If you are an approved Staff End User, an Authorized
Official or Delegated Official for your organization must
grant you access rights to the Provider for which your
organization has an approved surrogacy connection for the
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NPPES business function.
Impact on Type 2 NPI Providers

To gain access to the Provider


What information do I
in NPPES, you must correctly
need to gain access to
identify all of the organizations
my Type 2 NPI(s) in
NPIs and the User ID and
NPPES?
Password associated with
each. If you can successfully
enter the information, the
system will grant you access to
the Organizational Provider.

(See slide 9)
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Impact on Type 2 NPI Providers

1. Log into I&A.


How can I access my
NPI(s) if I have 2. Under My Profile select Add an Employer.
exceeded the 3. Add the organization as a Staff End User
maximum allowed (SEU).
attempts while trying
to access the NPI(s) 4. Contact the Enumerator to approve your
associated with my SEU request, by calling them 1-800-465-
3203 (NPI Toll-free) or 1-800-692-2326 (NPI
organization EIN?
TTY).
5. Once your request is approved, return to
NPPES and sign in with your I&A
credentials.
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YouTube link to The New NPPES

Is there any other You can access the information


source where I can on new NPPES on YouTube video
get the information by clicking the link provided below:
on new NPPES?
https://
www.youtube.com/watch?v=BOJCAj
1P2u8&feature=youtu.be

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