The provider name listed on applications for re-verification must match their legal name, name on the National Plan and Provider Enumeration System (NPPES) Registry, and their name on any license, certification, and/or accreditation.

Providers can check their listed NPPES name at:

If the name does not match, do NOT submit the application. Instead send an email to [email protected] with required documentation attached.

See chart on this page for more information about required documentation.