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HR Fast Facts: Finding Primary Care Provider ID Number

December 5, 2022
HR Fast Facts: Finding Primary Care Provider ID Number

Insurance carriers ask for a Provider Name and Provider ID for plans that require a Primary Care Physician designation (HMO plans and POS plans). In most cases, the Provider ID can be found by searching for the provider on an insurance carrier's Find A Provider tool on their website.

  • If the carrier does not show the Provider ID number in their directory, the provider themselves can give their ID number.
  • Provider ID numbers are sometimes referred to as National Provider Identifier (NPI). Using the doctor's name and location, employees can find NPI numbers using an online search.

Employers: questions should be routed to your broker or insurance carrier.

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