Monday, March 4, 2024

NSG Issues Notice on NPPES Data Element Changes

centers for medicare and medicaid services
administrative simplification

NSG Issues Notice on NPPES Data Element Changes

The Centers for Medicare & Medicaid Services' (CMS) National Standards Group (NSG), on behalf of the U.S. Department of Health & Human Services (HHS), has issued a notice in the Federal Register clarifying changes to the data elements providers must submit to the National Plan and Provider Enumeration System (NPPES) to obtain and maintain a National Provider Identifier (NPI).  

The published changes will amend the description of the provider first line location address and second line location address data elements to permit a provider that does not have a physical location other than their home address to enter a post office box as their provider location address. Additionally, they will permit selection and dissemination of gender code options beyond M (male) and F (female) to promote improved accuracy in publicly available data and support unique identification and enumeration of health care providers. NPPES will provide additional guidance on the new codes and instructions for selecting gender codes when applying for an NPI and maintaining NPI data. 

NPPES will be updated to begin collecting and disseminating these new values 30 days after publication of this notice in the Federal Register. 

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Visit our website at go.cms.gov/AdminSimp.


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