National Provider Identifier (NPI) Information
-
The National Provider Identifier (NPI) is a unique identification number for health care providers that will be used by all health plans nationwide including Medicaid next year.
-
The Administrative Simplification portion of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires the new standard unique identifier.
-
Entities covered by HIPAA using electronic transactions must each obtain and use their unique NPI number by May 23, 2007 (examples: providers, clearinghouses, payers).
-
Providers are required to provide their NPI(s) information to all payers.
-
The North Dakota Department of Human Services, which administers the state's Medicaid program, has created a coalition to help educate providers about the NPI.
Coalition Information
- The purpose of the coalition is to establish a forum where questions and answers related to the National Provider Identifier are addressed.
- The coalition is comprised of providers, health care associations, and the Department of Human Services.
Informational Meeting Dates, Locations, and Times
- 2007 Meeting Dates: Jan. 10, March 14, and May 9. These meetings will all be held in the Judicial Wing at the State Capital, 2nd floor AV Room 212, Bismarck, ND, from 1 to 2:30 p.m.
Providers located in the Bismarck area are welcome to join us at the location listed above. Providers outside of the Bismarck area, should e-mail dhsnpihelpdesk@nd.gov for dial-in information.
Submitting Questions: Please submit NPI related questions to dhsnpihelpdesk@nd.gov at least 24 hours prior to the meeting. Questions will be answered to the best of our ability and may require additional research.
Coalition Meeting Minutes
- November 8, 2006 NPI Coalition Meeting Minutes (23kb pdf)
- September 13, 2006 NPI Coalition Meeting Minutes (38kb pdf)
- August 9, 2006 NPI Coalition Meeting Minutes (39kb pdf)
- July 12, 2006 NPI Coalition Meeting Minutes (38kb pdf)
- June 14, 2006 NPI Coalition Meeting Minutes (37kb pdf)
Fact Sheet
- Fact Sheet (under development)
Frequently Asked Questions
- Frequently Asked Questions published April 2006 (25kb, pdf)
North Dakota Department of Human Services Resources:
- N.D. Dept. of Human Services NPI Helpdesk: dhsnpihelpdesk@nd.gov
- Register your NPI number with North Dakota Medicaid.
Other Resources
Background and application process for Health Care providers. This link illustrates the step-by-step process on how to fill out the NPI application.
Centers for Medicare and Medicaid Services (CMS) web page dedicated to NPI.
National Plan and Provider Enumeration System (NPPES). The NPI Enumerator is responsible for issuing the NPI numbers.
Electronic File Interchange (EFI), also referred to as "bulk enumeration", is a process by which a health care provider or group of providers can have a particular organization (the "EFIO") apply for National Provider Identifier(s) (NPI) on their behalf.
Noridian Mutual Insurance Company - Additional NPI information.
Centers for Medicare and Medicaid Services (CMS) Forms:
The new HCFA 1500 Form - National Uniform Claim Committee responsible for the approval of the HCFA 1500 form.
The new UB 04 Form - National Uniform Billing Committee (NUBC) responsible for the approval of the UB 04 form.
Washington Publishing Company - Organization responsible for publishing HIPAA transaction related materials.
Top of page 
Back to previous page
