Type 1 NPI; all state RN + NP licenses; AANP/ANCC certification; DEA certificate; malpractice face sheet ($1M/$3M minimum); CV with no gaps over 30 days; MSN/DNP diploma; collaborative agreement if restricted state; 3 professional references with contact info; 5-year employment history with no gaps over 30 days.

Click Register. Enter your name exactly as it appears on your NPI record. Enter DOB, SSN, NPI number, primary state license. Verify email and phone. Create username + password. Note your CAQH Provider ID — it is permanent and used on every payer application.

Personal information, professional IDs, education, specialty + board certification, practice locations (USPS-formatted address required), hospital affiliations, 5-year employment history with no gaps over 30 days, 3 professional references, current malpractice policy, criminal history disclosure, and all required document uploads.

Confirm all 18 sections show Complete status. Review that your name matches your NPPES record exactly and all addresses are USPS-formatted. Click Attest — this is a legally binding statement. In Plan Authorization, grant access to every payer you intend to credential with. Record your attestation date.

Re-attest every 120 days WITHOUT FAIL. An expired profile stalls every active payer application. CAQH emails a reminder at day 105 — but it often goes to spam. Set a recurring calendar reminder at 90 days. At each re-attest: update your malpractice policy dates, confirm all licenses are current, update any new telehealth states. Your telehealth states must exactly match your licensed states.