Have you applied for an NPI?

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MVP Health 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 MVP Health 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.


To apply for or update your NPI information online, go to https://nppes.cms.hhs.gov/NPPES/Welcome.do

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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Taxonomy Codes
To help make it easier for you to apply for the correct Taxonomy Code(s), MVP Health Care has created a simple crosswalk, matching each MVP Health Care specialty code to the appropriate Taxonomy Code.

Crosswalk: MVP Health Care Specialty Codes to Taxonomy Codes  

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Relay NPI/Taxonomy Code(s) to MVP Health Care after you receive notification from the NPI Enumerator

Log on to MVP Health Care easyLink for Providers and click the NPI Maintenance link in the gray toolbar to quickly submit your NPI information to MVP Health Care.

Fax your NPI and taxonomy code(s) within 30 days of receipt to the MVP Health Care Provider fax line at (585) 258-8660.
You also may e-mail this information to MVP Health Care at npiresponses@mvphealthcare.com. 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
MVP Health Care's Federally-mandated adoption of NPIs will affect electronic/paper claim submissions and related communications between health care providers and MVP Health Care. Announcements about NPI-related changes are linked below. Remember to refer to the MVP Health Care NPI Adoption Timeline for important deadlines.

HCFA-1500 to CMS-1500 Paper Claim Form Changes


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Informational Resources on the Web
National Plan & Provider Enumeration System (NPPES) NPI Registry

For NPI information and explanation, visit https://nppes.cms.hhs.gov.
Stay connected with up-to-the-minute NPI information available from the Centers for Medicare & Medicaid Services (CMS) at http://www.cms.hhs.gov/NationalProvIdentStand/
CMS Frequently Asked Questions about NPI
HHS – HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule
CMS Regulations and Guidance – National Provider Identifier Standard
CMS HIPAA – Are You a Covered Entity?
CMS NPI Viewlet – Instructional Web Tool

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