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May 01, 2026 , 01 : 00 PM EST |  15 Days Left

NPI Registry Portal Changes and Best Practices

Presented by Tammy West
Duration - 60 Minutes

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Description

This presentation provides a comprehensive, practical overview of the National Plan and Provider Enumeration System (NPPES) and how healthcare providers and organizations obtain, manage, and maintain National Provider Identifiers (NPIs) using current CMS systems and requirements. The presentation discusses important terms and acronyms associated with NPPES and explains the different NPI types and uses. It provides details on how to create an NPPES account in the Identity and Access Management System, discusses the various user roles and associated responsibilities, and walks users through CMS approval and verification processes for NPI numbers. Attendees will learn about the recent changes to the NPPES Registry portal and be informed of best practices and tips for avoiding errors that delay processing or cause claims denials.

Learning Objectives

  • Important Terms & Acronyms
  • What is NPPES?
  • Why You Need an NPI
  • NPPES Registry Portal Changes
  • Accessing the NPPES Website
  • Creating & Managing an Account
  • Applying for an NPI
  • Updating NPI Information
  • Tips for Smooth Navigation

Areas Covered

The presentation is designed to help providers, credentialing professionals, and administrative staff:

  • Understand what NPPES is and why NPIs are required
  • Navigate recent NPPES Registry Portal changes
  • Create and manage Identity & Access Management (I&A) accounts
  • Apply for, update, and maintain NPIs accurately and efficiently
  • Avoid common errors that delay processing or cause claim denials

Who Should Attend

  • Credentialing specialist
  • Payer enrollment specialist
  • Onboarding specialist
  • Licensing specialist
  • Practice managers
  • Practice Administrators
  • New Physicians
  • Physician practices
  • CVOs
  • Payer enrollment agencies
  • Medical staff offices.

Speaker

Tammy West

Tammy is the Senior Director of CVO Operations and Regulatory Compliance with The Hardenbergh Group. She brings 25 years of experience in healthcare administration and 18 years in Medical Staff Services. She specializes in CVO operations, provider credentialing, provider enrollment, quality analysis, quality improvement, quality auditing, delegation audits, and policy and procedure creation and implementation. She has extensive experience with CMS, TJC, and NCQA requirements for provider credentialing and medical staff services.

Tammy leverages her vast professional experience to help clients assess and improve operational efficiency, prepare for regulatory surveys and audits, pursue NCQA accreditation and certification, and more.

Tammy has a master’s in healthcare administration with a minor in Education and a BS in Human Services Management. She is a member of the North Carolina Association Medical Staff Services and the National Association of Medical Staff Services.