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

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