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)

ICR 202404-0938-002

OMB: 0938-0931

Federal Form Document

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0931 can be found here:

2024-11-05 - Reinstatement with change of a previously approved collection

Forms and Documents

Document Name	Status
Form CMS-10114 National Provider Identifier (NPI) Application Form and Instruction	Modified
Form CMS-10114 National Provider Identifier (NPI) Application and Update Form Form and Instruction	Modified
Non-sub Change Request Memo (NPPES Gender and Practice Location).docx Justification for No Material/Nonsubstantive Change	2024-04-02
CMS-10114 - Supporting Statement - 30-day.docx Supporting Statement A	2020-11-10

IC Document Collections

IC ID	Document Title	Status
37925	National Provider Identifier (NPI) Application Form and Instruction	Modified
179125	National Provider Identifier (NPI) Application and Update Form Form and Instruction	Modified

ICR Details

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