Reinstatement with change of a previously approved collection
No
Regular
Approved with change
03/18/2025
11/05/2024
table that charts list comparision
Inventory as of this Action
Requested
Previously Approved
03/31/2028
36 Months From Approved
1,279,502
0
0
299,388
0
0
0
0
0
The National Provider Identifier (NPI) Application and Update Form is used by health care providers to apply for NPIs and furnish updates to the information they supplied on their initial applications. The form is also used to deactivate their NPIs if necessary. The form is available on paper or can be completed via a web-based process.
An NPI is expected to last for the "life" of the health care provider (i.e., until the death of an individual or until the dissolution of an organization); therefore, a health care provider applies for an NPI only one time. A health care provider must furnish updates to the required information given in the application whenever changes occur to those data. Updates can be mailed or submitted electronically.
US Code:
45 USC 162.410(a)(1) through (a)(6)
Name of Law: Implementation Specifications: Health Care Providers
EO: EO 12600 Name/Subject of EO: Predisclosure Notification Procedures for Confidential Commercial Information
PL:
Pub.L. 109 - 220 508
Name of Law: Rehabilitation Act of 1973 as incorporated with the Americans With Disabilities Act of 2005
US Code:
5 USC 522(b)(4)
Name of Law: The Freedom of Information Act
US Code:
31 USC 7701(c)
Name of Law: Tax Payer Identification Number
The new estimates for completing the CMS-10114 (The National Provider Identifier Application/Update Form) for initial applications and reporting updates in initial application are taken directly from the actual applications processed for calendar year 2023 in NPPES and therefore more accurate than the prior estimates. In addition, CMS assessed (via NPPES) how many providers are currently using the CMS-10114 to update their initial application information. Those assessed providers were added to the current burden estimates. This increased the number of respondents by 283,460 (996,042 to 1,279,502). In addition, the prior burden was based on initial application completion time of 0.17 hours (10 minutes); however, the completion time has been increased to 0.33 hours (20 minutes). This updated completion time increased the burden hours by 130,061 (from 169,327 to 299,388). A slight revision was made to the CMS-855B application instructions for clarity.
$121,894
No
Yes
Yes
No
No
No
No
Jamaa Hill 301 492-4190
Reginfo record details
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Form CMS-10114 CMS-10114_NPI Application & Update Form_clean (3-6-25)
Tracked change_CMS-10114DRAFT.pdf
CMS-10114 - Supporting Statement - 30 day_2024.docx
National Provider Identifier (NPI) Application