[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-305913-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-305913-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","north-carolina-medicaid-special-bulletin-number-3-may-2008-national-provider-identifier-npi","North Carolina Medicaid Special Bulletin - Number 3 May 2008 - National Provider Identifier (NPI)","","North Carolina Medicaid Special Bulletin Number 3 (May 2008) provides guidance for all providers on the National Provider Identifier (NPI). It explains what the NPI is under HIPAA, how NPI maps to the Medicaid Provider Number (MPN) for claim adjudication, and which atypical providers do not receive NPIs. The bulletin also covers how to obtain NPIs, required reporting to N.C. Medicaid, relevant taxonomy and subparts, and operational impacts on remittance, status reports, electronic transactions, and claim submission.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/north-carolina-medicaid-special-bulletin-number-3-may-2008-national-provider-identifier-npi/305913/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/north-carolina-medicaid-special-bulletin-number-3-may-2008-national-provider-identifier-npi/305913.png","ImageObject",442,249,{"name":42,"@type":43},"Eliana","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-09-29","2026-09-19",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",8,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What is the National Provider Identifier (NPI) and what is its purpose?","Question",{"text":63,"@type":64},"The NPI is a 10-byte, all-numeric standard unique identifier required by HIPAA for healthcare providers. It replaces proprietary identifiers used in HIPAA-covered electronic transactions to identify a provider.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How does N.C. Medicaid use NPI when processing claims?",{"text":68,"@type":64},"Claims submitted to N.C. Medicaid must include the Medicaid Provider Number (MPN), NPI, and taxonomy. N.C. Medicaid uses a mapping (crosswalk) approach to match the billed NPI to the correct MPN, ideally via a one-to-one match.",{"name":70,"@type":61,"acceptedAnswer":71},"Who are “atypical” providers and do they receive NPIs?",{"text":72,"@type":64},"Atypical providers do not provide healthcare services and will not be issued NPIs. They continue to use their legacy MPN for billing, even though they bill Medicaid for services rendered.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},305913,1789830321,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":136,"language":137,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":12,"update_tm":80,"read_time":33},4398048949847,"https://ap-avatar.wpscdn.com/avatar/400002536579ef2da7f?_k=1778318612642679267","North Carolina  \nMedicaid Special Bulletin  \nAn Information Service of the Division of Medical Assistance  \nVisit DMA on the web at [http://www.ncdhhs.gov/dma](http://www.ncdhhs.gov/dma)  \nPublished by EDS, fiscal agent for the North Carolina Medicaid Program  \nNumber 3 May 2008  \nAttention: All Providers  \nNational Provider Identifier  \nNPI– Get it! Share It! Use It! Getting one is free – Not having one can be costly!  \nTable of Contents  \nWhat is the National Provider Identifier? .................................................................................. 1  \nThe National Provider Identifier and N.C. Medicaid ................................................................ 1  \nAtypical Providers ..................................................................................................................... 1  \nObtaining the National Provider Identifier ................................................................................ 1  \nNational Provider Identifier Subparts ........................................................................................2  \nNational Provider Identifier and Provider Enrollment...............................................................2  \nReporting the National Provider Identifier ................................................................................2  \nTaxonomy and the National Provider Identifier ........................................................................3  \nUnknown National Provider Identifier Report ..........................................................................3  \nUnresolved National Provider Identifier Report........................................................................4  \nThe National Provider Identifier and the Automated Voice Response System.........................4  \nNational Provider Identifier Effects on the Remittance and Status Reports and the 835  \nTransaction.................................................................................................................................4  \nNational Provider Identifier and Claim Submission Guidelines................................................5  \nElectronic Mailing List for National Provider Identifier Updates .............................................5  \nNational Provider Identifier Implementation and Ready Letters ..............................................5  \nNotification of National Provider Identifier/Medicaid Provider Number Mismatch ................6  \nReferring Provider Numbers for Carolina ACCESS Referral Authorizations ..........................6  \nNational Provider Identifier – Frequently Asked Questions......................................................7  \nWhat is the National Provider Identifier?  \nThe Health Insurance Portability and Accountability Act (HIPAA) of 1996 requires the adoption of a standard unique identifier for healthcare providers. The final rule for the National Provider Identifier (NPI), which was issued on January 23, 2004, adopts the NPI as this national standard and applies to all health care providers. The NPI is a 10-byte, all-numeric identifier that will replace all proprietary identifiers used in HIPAA-covered electronic transactions to identify a provider. The first character is a 1 or 2 and the last character is a check digit designed to help ensure validity of the number. There is no embedded intelligence in the NPI—it is simply a unique number to identify a provider regardless of the provider’s location, type, or specialty.  \nThe National Provider Identifier and N.C. Medicaid  \nEffective January 1, 2008, all claims (except pharmacy claims and claims for atypical providers) submitted to N.C. Medicaid must contain the Medicaid Provider Number (MPN), NPI, and taxonomy. Like many other payers, N.C. Medicaid is adopting a mapping solution in which the NPI billed on the claim is mapped to the MPN for claims adjudication. This crosswalk method of matching the NPI to the MPN allows claims to process using current polic","cbCaim43Bwz4wAea","https://ap.wps.com/l/cbCaim43Bwz4wAea","pdf",114908,10,"English","# What is the National Provider Identifier?\n## The National Provider Identifier and N.C. Medicaid\n## Atypical Providers\n## Obtaining the National Provider Identifier\n## National Provider Identifier Subparts\n## National Provider Identifier and Provider Enrollment\n## Reporting the National Provider Identifier\n## Taxonomy and the National Provider Identifier\n## Unknown National Provider Identifier Report\n## Unresolved National Provider Identifier Report\n## The National Provider Identifier and the Automated Voice Response System\n## National Provider Identifier Effects on the Remittance and Status Reports and the 835 Transaction\n## National Provider Identifier and Claim Submission Guidelines\n## Electronic Mailing List for National Provider Identifier Updates\n## National Provider Identifier Implementation and Ready Letters\n## Notification of National Provider Identifier/Medicaid Provider Number Mismatch\n## Referring Provider Numbers for Carolina ACCESS Referral Authorizations\n## National Provider Identifier - Frequently Asked Questions","[{\"question\":\"What is the National Provider Identifier (NPI) and what is its purpose?\",\"answer\":\"The NPI is a 10-byte, all-numeric standard unique identifier required by HIPAA for healthcare providers. It replaces proprietary identifiers used in HIPAA-covered electronic transactions to identify a provider.\"},{\"question\":\"How does N.C. Medicaid use NPI when processing claims?\",\"answer\":\"Claims submitted to N.C. Medicaid must include the Medicaid Provider Number (MPN), NPI, and taxonomy. N.C. Medicaid uses a mapping (crosswalk) approach to match the billed NPI to the correct MPN, ideally via a one-to-one match.\"},{\"question\":\"Who are “atypical” providers and do they receive NPIs?\",\"answer\":\"Atypical providers do not provide healthcare services and will not be issued NPIs. They continue to use their legacy MPN for billing, even though they bill Medicaid for services rendered.\"}]","North Carolina Medicaid Special Bulletin - Number 3 May 2008 - National Provider Identifier (NPI) | PDF"]