
If you work for an organization that is a surrogate working on behalf of the Provider, you will need to ensure that there is an approved surrogacy connection between your employer and the Provider for the NPPES business function and that you have been granted access rights to the Provider. Once your employer request is approved you will be able to log into NPPES with your I&A User ID and Password and have access to your Provider.
If you request to be a Staff End User, you can either have an Authorized Official or Access Manager approve your request, or you can contact the Enumerators and request them to approve your employer request. If you request to be an Access Manager, you can either have an existing Authorized Official approve your request, or you can submit the required paper work to EUS for approval. If you request to be an Authorized Official, you must submit the required paper work to EUS for approval. If you are an employee/owner of the Provider Organization, you can submit an employer request. Note: NPI Application/Update forms received via email and/or fax will not be processed.
Once the paper NPI Application/Update form is completed, it must be returned to the NPI Enumerator via mail at the address provided on the third page of the application.Note: For Entity Type 2 applications, the Authorized Official will sign in Section 4B. Note: For Entity Type 1 applications, the Provider will sign in Section 4A. In Section 4A or 4B Certification Statement, the Provider/Authorized Official will sign the application.If you are making an update to Section 3C Other Provider Identification Numbers or Section 3D Provider Taxonomy Code, be sure to indicate if the information is to be added to the NPI record or if it is to replace the information that is currently in the NPI record. Complete the sections that need to be updated.Provide the correct NPI on the line below the Change of Information box.In Section 1A Reason For Submittal of this Form, select the Change of Information box.