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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
OMB.report
HHS/CMS
OMB 0938-0931
ICR 202404-0938-002
IC 179125
( )
Documents and Forms
Document Name
Document Type
Form CMS-10114
National Provider Identifier (NPI) Application and Update Form
Form and Instruction
CMS-10114 NPI Application and Update Form
CMS-10114 - NPI Application Change Form.pdf
Form and Instruction
Information Collection (IC) Details
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