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FAQ - Highmark Blue Shield

National Provider Identifier FAQ Q. What is an NPI? A. An NPI is a 10 digit numerical identifier for providers of health care services. It is national in scope and unique to the provider. Whereas in the past, a provider had a different identification number for each payer, after May 23, 2007, a provider will have a single identifier that will be used across all payers. The number itself is not a smart number, , there is no intelligence built into it ( , a phone number is intelligent because starting with area code provides some indication of location). Further, NPIs can be 1 of 2 Types. Type 1 is at the practitioner level, for example, in a group practice, all of the physicians and mid-level providers, , Nurse Practitioners and Physicians Assistants will have their own NPI. In addition, the group itself will have a Type 2 NPI (or more depending on how the group chooses to enumerate). Under certain circumstances, a group could have more than one NPI if it chooses.

Title: FAQ Author: Vikram Mangalmurti Created Date: 10/23/2006 11:39:54 AM

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