- Description of NPI and a Link to NPPES Registry
- State License and Registrations for Certified Providers and Suppliers
- Eligible Institutional Providers
- Eligible Part B Physicians and Nonphysicians to Enroll as Ordering and Referring Only
- Eligible Method II Providers
- Certified Provider and State Survey Agency
- Understanding the Approval Recommendation Process for Certified Providers
- Accreditation of Advanced Diagnostic Imaging and FDA Mammography Equipment
- Understanding Authorized Official and Delegated Official Roles
State License and Registrations for Certified Providers and Suppliers
Prior to submitting a provider enrollment application to Medicare, ensure that all applicable state requirements are met for your provider type. Each state has unique requirements, processes and websites that may vary, so each provider or supplier will need to follow their state’s requirements.
Published 8/2/2022
Helpful Resources
Check Provider Enrollment Application Status
Log Into PECOS
J6 Mailing Address:
National Government Services, Inc.
P.O. Box 6474
Indianapolis, IN 46206-6474
Contact Enrollment:
855-834-5596
Hours Available:
Monday–Friday
8:00 a.m.–4:00 p.m. CT
9:00 a.m.–5:00 p.m. ET
*Closed for training on the 2nd and 4th Friday of the month
12:00 p.m.-4:00 p.m. ET
11:00 a.m.-3:00 p.m. CT
Form(s) you'll need:
CMS-855A - Medicare Enrollment Application form for Institutional Providers
CMS-588 - Electronic Funds Transfer (EFT) Authorization Agreement form
Helpful Resources
Check Provider Enrollment Application Status
Log Into PECOS
JK Mailing Address:
National Government Services, Inc.
P.O. Box 7149
Indianapolis, IN 46206-7149
Contact Enrollment:
855-593-8047
Hours Available:
Monday–Friday
8:00 a.m.–4:00 p.m. ET
*Closed for training on the 2nd and 4th Friday of the month
12:00 p.m.-4:00 p.m. ET
Form(s) you'll need:
CMS-855A - Medicare Enrollment Application form for Institutional Providers
CMS-588 - Electronic Funds Transfer (EFT) Authorization Agreement form