A SERVICE OF

logo

32
NOTE: If a Provider wishes to obtain a copy of the NPI application form they must call to obtain an
application form. No e-mail or mail requests for applications will be accepted.
Reminder to Providers: A Provider may apply for an NPI using only one of the ways described above.
Make sure that the Provider has a correct Social Security Number (SSN) and Federal employee
identification number when applying.
How do I bill with an NPI number?
The NPI number should be placed in the following boxes on the appropriate claim form:
CMS 1500
Place the NPI in Block 24J
UB92
Place the NPI in Block 56
Additional questions on how to bill an NPI number?
Refer to: www.cms.gov
Medicare Claims Processing Manual
o Chapter 26
o Completing and Processing Form CMS 1500 Data Set