Provider Credentialing Forms & Checklists
Credentialing, NPI, Medicare enrollment, recredentialing and provider documentation resources for physicians and medical practices.
CAQH Credentialing Checklist
Download PDF checklist for organizing information and documents commonly required during CAQH credentialing.
Provider Credentialing Document Checklist
Download PDF checklist for provider licenses, certifications, insurance, education, work history and enrollment documents.
Recredentialing Checklist
Download PDF checklist for updating expiring credentials, attestations and payer recredentialing information.
Provider Enrollment Status Tracker
Download template for tracking payer applications, submission dates, follow-ups and effective dates.
Credentialing Document Expiration Tracker
Download template for tracking license, DEA, malpractice and certification expiration dates.
Provider Roster Template
Download provider roster template for maintaining NPI, taxonomy, TIN, location and payer information.
New Provider Onboarding Checklist
Download PDF checklist for credentialing, enrollment and billing setup when adding a new provider.
NPI Application — NPPES
Apply for or update an individual or organization National Provider Identifier.
NPI Registry Search
Search public NPI records by provider, organization, taxonomy or location.
PECOS — Medicare Provider Enrollment
Enroll, update or revalidate Medicare provider enrollment information online.
Forms, portals and program requirements may change. Verify the current version and applicable requirements with the issuing organization before submission or use.