Provider View – Initial Application

嚜燕rovider View 每 Initial Application

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Access

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Select Create or Manage an Account

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Select OK on the Leaving NPPES Website pop up.

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Provider View 每 Initial Application

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User must select Accept to agree to the Terms and Conditions of the

Identity & Access Management System.

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Provider View 每 Initial Application

One account will be created to access multiple systems. Select

Create Account Now to proceed.

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Complete the User Registration fields.

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E-mail Address / Confirm E-mail Address

Captcha

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Submit

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Provider View 每 Initial Application

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Complete the User Registration 每 User Security fields

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User ID / Password / Confirm Password

Five Security

Questions and

Answers

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Provider View 每 Initial Application

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Complete the User

Registration 每 User

Information fields

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First & Last Name

Business Phone

DOB

SSN

Personal Phone

Home Address

City

Country

State / Province / Territory

Zip Code

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Primary E-mail Address

(auto-filled)

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