Archive_Revalidating a Clinic/Group Practice or Facility_2025_0217
This video will demonstrate how to revalidate an Organizational National Provider Identifier (NPI) within PEMS from start to finish. It will cover each tab in detail and each field that is required to submit the request.
00:00 Overview
01:51 Getting Started
03:22 NPI Taxonomy Information
03:56 Provider Information
04:45 Licenses/Certifications/Accreditations
07:56 Disclosures
09:22 Accounting Billing Information
10:35 W-9
13:14 EFT
15:47 Ownership/Controlling Interest
16:08 Owners/Creditors/Principals
21:16 Authorized Signatory
22:14 Programs
23:01 Practice Location Information
23:56 Basic Information
24:35 Programs and Service Participation
29:14 Demographics
29:55 Managing Employee
30:57 Mailing/Contract Address
31:56 Attachments
32:23 Agreements
36:24 Application Fee
37:26 Submitting the Request
37:42 Checking Status of the Request