Medicare AdvantageAdministrativeMedium impact
National Plan and Provider Enumeration System reminder
Blue Cross Blue Shield of Rhode Island·RI·Provider Update
We identified it
Jun 19, 2026
Summary
CMS reminds healthcare providers to review, update, and certify their information in the National Plan and Provider Enumeration System (NPPES), including practice addresses, contact information, and specialty designations. Providers must ensure all active practice locations where patients can schedule appointments are included and remove inactive locations.
Action Required
Immediately: Providers must log into NPPES to review and update their profile information including practice name, mailing address, phone/fax numbers, specialty, and all active practice locations where patients are seen and can schedule appointments. Remove any inactive practice locations. After updating, providers must certify the information is accurate in NPPES. This only affects Medicare Advantage billing, not Medicare Fee-For-Service claims.