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Medicare AdvantageAdministrativeMedium impact

National Plan and Provider Enumeration System Reminder

Blue Cross Blue Shield of Rhode Island·RI·Provider Update
Effective date
Not stated
We identified it
Jun 19, 2026
Days to comply

Summary

BCBSRI reminds providers to review and update their information in the National Plan and Provider Enumeration System (NPPES), including practice addresses, contact information, and specialties. Providers must certify the accuracy of their updated information in NPPES to ensure patients can properly access their services.

Action Required

Action needed
Immediately: All providers must log into NPPES to review and update their profile information including practice name, mailing addresses, phone/fax numbers, and specialty designations. Add all active practice locations where patients are seen and can schedule appointments. Remove any inactive or closed practice locations. After updates are complete, providers must certify the accuracy of all information in NPPES. Note: This update only affects Medicare Advantage network directories, not Medicare Fee-For-Service billing.