CommercialAdministrativeLow impact
New NP/PCP policy
Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Pediatrics, Internal Medicine +1 more·Physician
Effective date
Mar 26, 2019
We identified it
Jun 20, 2026
Summary
BCBSRI implemented new credentialing requirements for nurse practitioners serving as primary care providers, with different licensing and experience requirements depending on whether they have patient panels.
Action Required
No immediate action required for billing team. This is a credentialing policy that affects provider enrollment, not billing procedures. If your practice employs NPs as PCPs with BCBSRI, contact ProviderRelations@bcbsri.org to ensure proper credentialing status.