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Medicare AdvantageAdministrativeMedium impact

National plan and provider enumeration system reminder

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

Summary

CMS reminds Medicare Advantage Organizations to work with contracted providers to review, update, and certify provider information in the National Plan & Provider Enumeration System (NPPES). Providers must update inaccurate information including practice addresses, contact details, and specialties, then certify the updated information.

Action Required

Action needed
Immediately: Providers must log into NPPES to review and update all provider information including practice names, mailing addresses, phone/fax numbers, and specialties. Add all active practice locations where patients are seen and can schedule appointments. Remove any inactive practice locations. After updating information, providers must certify the accuracy of all data in NPPES. Note: This does not affect Medicare fee-for-service billing.