Information Collection Request
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 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0931 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form CMS-10114 National Provider Identifier (NPI) Application |
Form and Instruction | Modified | Repair queued |
| Form CMS-10114 National Provider Identifier (NPI) Application and Update Form |
Form and Instruction | Modified | Repair queued |
 Non-sub Change Request Memo (NPPES Gender and Practice Location).docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-04-02 | Repair queued |
| CMS-10114 - Supporting Statement - 30-day.docx |
Supporting Statement A | Uploaded 2020-11-10 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 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
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-0931 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202011-0938-004 |
| Agency Tracking No | CPI - 10114 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |