Becoming a Provider

Notice:

All High Fidelity Wraparound (HFWA) providers, both individuals and agencies, are required to obtain a National Provider Identifier (NPI) before applying to join the HFWA network.  If you already have a NPI number, do not apply for another one.

Go to the National Provider Plan & Enumeration System (NPPES) to apply.

Type 1:

Individual providers and agency/group members will obtain an individual NPI.

Type 2:

Agencies/groups will also obtain an organization NPI.

For High Fidelity Wraparound Services, put Case Management/Care Coordination. If you have questions, call NPPES toll-free number and talk to a person 1-800-465-3203

What you need to know when applying for an NPI

Prepare with the information that will be needed:

Information required for individual providers

• Provider Name
• SSN (or TIN)
• Provider Date of Birth
• Country of Birth
• State of Birth
• Provider Gender
• Mailing Address
• Practice Location Address and Phone Number
• Taxonomy (Provider Type) – 171M00000X  Care Mgr Care Coordinator
• State License Information (as applicable)
• Contact Person Name
• Contact Person Phone Number and E-mail

Information required for organizations

• Organization Name
• Employer Identification Number (EIN)
• Name of Authorized Official for the Organization
• Phone Number of Authorized Official for the Organization
• Organization Mailing Address
• Practice Location Address and Phone Number
• Taxonomy (Provider Type) – 171M00000X  Care Mgr Care Coordinator
• Contact Person Name
• Contact Person Phone Number and E-mail

Common mistakes that will hold up your application

• Make sure the name you use on the application is the same as the one on your Social Security Card.
• When they ask about an address – if at all possible choose “accept standardized.”
• You will use the same address with NPPES, WY Medicaid and Magellan.