National Provider Identifier (NPI) Application

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: 37925

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

National Provider Identifier (NPI) Application CPI - 10114
 
No Modified
 
Mandatory
 
45 CFR 142.408 45 CFR 162.406 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 CMS-10114-NPI Update Form rev.pdf Yes Yes Fillable Printable

Health Health Care Services

 

404,128 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   98 %

  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 404,128 0 0 90,953 0 313,175
Annual IC Time Burden (Hours) 68,701 0 0 -37,779 0 106,480
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2021 OMB.report | Privacy Policy