- 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
Eligible Institutional Providers
Certified Providers and Certified Suppliers that Enroll via the Form CMS-855A.
Unique statutory and regulatory requirements for these types of providers/suppliers are addressed in the CMS IOM Publication 100-08, Medicare Program Integrity Manual, Chapter 10, Sections 10.2.1 and 10.2.7.
- Community Mental Health Center
- Comprehensive Outpatient Rehabilitation Facility
- Critical Access Hospital
- End-Stage Renal Disease Facility
- Federally Qualified Health Center
- Histocompatibility Laboratory
- Home Health Agency
- Hospice
- Hospital and Hospital Units
- Indian Health Services Facility
- Opioid Treatment Program
- Organ Procurement Organization
- Outpatient Physical Therapy/Occupational Therapy /Speech Pathology Services
- Religious Non-Medical Health Care Institution
- Rural Health Clinic
- Skilled Nursing Facility
Related Content
Posted 8/15/2022
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