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National Provider Identifier

Submit your National Provider Identifier (NPI) to Regence now

Centers for Medicare & Medicaid Services (CMS) recently released contingency guidance to help facilitate compliance in using the NPI for electronic claims submission.

To facilitate compliance with Regence and NPI requirements, please submit your electronic claims according to the following timeframes:

  • Through February 29, 2008, you may enter your Regence provider number only or your NPI with your Regence provider number.
  • Beginning March 1, 2008, you must enter your NPI number. You may continue to include your Regence provider number through May 22, 2008 although it is no longer required.
  • Beginning May 23, 2008 You are required to use ONLY your NPI on all electronically submitted claims. You may no longer include your Regence provider number.

1. Obtain your NPI
If you have not applied for your NPI or if you are an Organizational provider and you need assistance, Centers for Medicare & Medicaid Services offers sub-part enumeration guidelines and many other NPI-related resources.

2. Submit your NPI to Regence now

  • Use our online form:
    • Type 1 providers (physicians, dentists and all sole proprietors who are individuals eligible for only one NPI)
    • Type 2 providers (organizations such as physician groups, hospitals, nursing homes, and corporations which may have "subparts" that need their own NPIs).
  • Call your provider service representative to report your NPI
  • Send your NPI via standard mail to:
    Regence BlueCross BlueShield of Oregon
    Attn: Provider Services NPI
    P.O. Box 1271 MS E7-D
    Portland, OR 97207-1271

More about NPIs and Regence:

  • NPI online training: Learn more about NPIs and Regence
  • Regence NPI FAQ:   Your frequently asked questions about NPI answered.
  • The Health Insurance Portability and Accountability Act of 1996 (HIPAA) requires that all physicians, health care professionals and facilities who use electronic transactions must obtain, and use a NPI by May 23, 2008. Regence requires you to submit your NPI on all electronic claims beginning March 1, 2008. The NPI will be the primary identifying number used for health care providers in standard health care electronic transactions. Early submission helps us map your NPI information to your Regence provider numbers for a smooth transition.