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Have you applied for an NPI?
Preferred Care continues to work with health care providers
transitioning to National Provider Identifiers (NPIs)
A National Provider Identifier (NPI) is a unique 10-digit identifier assigned to a health care provider for use in conducting various transactions with other health care entities. Applying for and using an NPI is mandated under the HIPAA Electronic Health Care Transactions and Code Sets regulations.
| How and Where to Apply for NPIs |
| You may apply for your NPI either online or by mail. Please remember to include your Preferred Care Provider ID on the application. This will help to ensure smooth billing and payment operations as we transition to this Federally-mandated identification system. |
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To apply for or update your NPI information online, go to https://nppes.cms.hhs.gov/NPPES/Welcome.do |
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For a paper copy of the application, contact the NPI Enumerator at
1-800-465-3203. TTY users may call 1-800-692-2326. |
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Relay NPI/Taxonomy Code(s) to Preferred Care
after you receive notification from the NPI Enumerator
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Log on to Preferred Care easyLink for Providers and click the NPI Maintenance link in the gray toolbar to quickly submit your NPI information to Preferred Care. |
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Fax your NPI and taxonomy code(s) within 30 days of receipt to the Preferred Care Provider fax line at (585) 258-8660. |
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You also may e-mail this information to Preferred Care at npiresponses@preferredcare.org. Please note: this e-mail address is ONLY for NPI/Taxonomy code(s) notification; all other inquiries will be returned. |
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| NPI on New Paper Claim Forms, Electronic Claim Reports, Paper Vouchers, Return Letters |
| Preferred Care's Federally-mandated adoption of NPIs will affect electronic/paper claim submissions and related communications between health care providers and Preferred Care. Announcements about NPI-related changes are linked below. Remember to refer to the Preferred Care NPI Adoption Timeline for important deadlines. |
CMS-1500 |
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UB-04 |
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Other |
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Frequently Asked Questions about the National Provider Identifier (NPI)
(More FAQs will be posted as they are received. If you have a question about NPI,
please contact your Professional Relations Representative.) |
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What is a Taxonomy code?
Taxonomy Codes, also known as Specialty Codes, identify a provider’s specialty category. A single provider may have more than one Taxonomy Code depending on the specialties in which he or she practices. The Taxonomy Code should be accessible when you apply for your NPI online.
For Taxonomy Code information, please see the following Web sites:
http://www.wpc-edi.com/codes/taxonomy or http://www.adldata.com/Downloads/Glossaries/taxonomy_302.pdf
If internet access is not available, please call the NPI Enumerator at
1-800-465-3203. |
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What is a Legacy ID?
Your Legacy ID is your Preferred Care Provider Number. |
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Where should I put the NPI on electronic claims?
Contact your practice management software vendor. |
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| NPI for Employers |
Employers that send (or plan to send) 834 enrollment files to Preferred Care, Third Party Administrators, and software vendors will find resources here for the migration from Provider ID numbers to National Provider Identifiers (NPIs) as it affects 834 transmissions.
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Preferred Care HIPAA EDI Transaction Companion Guide for EMPLOYER GROUPS:
834 Transactions
(Guide and Attachments: 834 TPA, Test File Specifications, Data Entry Standards) |
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Last updated: Mayh 17, 2007
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