nd.gov - The Official Portal for North Dakota State Government
North Dakota: Legendary. Follow the trail of legends
NDDHS logo Mother and daughter graphic
 arrowDHS Home arrowContact DHS arrowSkip Navigation

Medicaid Provider Enrollment

Provider Enrollment Information:

Medicaid Provider Enrollment Electronic Application Information (MMIS)

Required Documents for Online Enrollment

All completed applications should be mailed to:

North Dakota Dept. of Human Services
Medicaid Provider Enrollment
600 E. Boulevard Ave., Dept. 325
Bismarck, ND 58505-0250

If you have any questions on enrollment call:

North Dakota Medicaid Provider Enrollment
1-800-755-2604 or 701-328-4033
Monday through Friday
8 a.m. to 4:30 p.m. (CT)


Return to the top of the page Top of page   Go back to the previous page Back to previous page

 Get Adobe Acrobat Reader Tested for W3C WAI AA Accessibility Tested for W3C Well-Formed XHTML Code Tested for W3C Well Formed Cascading Style Sheet Code