National Provider Identifier (NPI) Application and Update Form

National Provider Identifier (NPI) Application and Update Form and Supporting Regs in 45 CFR 142.408, 45 CFR 162.408, 45 CFR 162.406 (CMS-10114)

OMB: 0938-0931

IC ID: 179125

Information Collection (IC) Details

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National Provider Identifier (NPI) Application and Update Form
 
No Modified
 
Mandatory
 
45 CFR 162.406 45 CFR 142.408 45 CFR 162.408

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10114 NPI Application and Update Form CMS-10114-NPI Update Form rev.pdf Yes Yes Fillable Fileable Signable

Health Health Care Services

 

591,914 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   95 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 591,914 0 0 -513,256 0 1,105,170
Annual IC Time Burden (Hours) 100,626 0 0 -275,132 0 375,758
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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