Representing Health Care Providers

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Adoption Level	Federally required	Cost	Test Tool Availability
Standard	National Plan and Provider Enumeration System National Provider Identifier (NPI)	Final	Production		Yes	Free	N/A
Standard	National Uniform Claim Committee (NUCC) Health Care Provider Taxonomy	Final	Production		No	Free	N/A

Limitations, Dependencies, and Preconditions for Consideration	Applicable Value Set(s) and Starter Set(s)
NPPES permits non-billable care team members to apply for an NPI number to capture the concept of ‘person’. The National Uniform Claim Committee (NUCC) Health Care Provider Taxonomy code set identifies health care provider groupings, classifications, and areas of specialization. It does include other providers than health care providers, which is defined by federal regulations. The adoption of NPI for pharmacy/prescribing may be higher than for general use, however, not all prescribers (e.g., veterinarians, etc) are able to obtain an NPI.	NUCC Provider Codes: 2.16.840.1.113883.6.101

Limitations, Dependencies, and Preconditions for Consideration

Applicable Value Set(s) and Starter Set(s)

NPPES permits non-billable care team members to apply for an NPI number to capture the concept of ‘person’.
The National Uniform Claim Committee (NUCC) Health Care Provider Taxonomy code set identifies health care provider groupings, classifications, and areas of specialization. It does include other providers than health care providers, which is defined by federal regulations.
The adoption of NPI for pharmacy/prescribing may be higher than for general use, however, not all prescribers (e.g., veterinarians, etc) are able to obtain an NPI.

Comment

Submitted by JO'Neill on 2017-01-10

The link to National Provider Identifier Standard Implementation/Specification is broken. Please correct.

Submitted by Brett Andriesen on 2017-01-26

Thank you for bringing this to our attention. The URL has been updated.