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Provider Enrollment > Nurse Practitioner
If you Do/Will Provide Medical Services and Bill Medicaid Click here for the Enrollment Form and Instructions.
Attending Nurse Practitioners should complete the form below if their name/NPI will ONLY be found on a claim submitted by the Hospital. If the practitioner will be attesting for MEIPASS/EHR Incentive, do not apply as an OPRA provider.
If you ONLY will Order/Prescribe/Refer/Attend and you will NOT be Billing Medicaid, Click here for the Enrollment Form and Instructions.
Nurse Practitioner - Change From OPRA To Billing Provider
If you are already enrolled as an Order/Prescribe/Refer/Attend (OPRA) Provider and wish to provide Medicaid Services and Bill Medicaid, Click here for the Enrollment Form and Instructions.