What is a National Provider Identification (NPI) number?

An NPI number is a 10 digit numerical identifier for providers of healthcare services. It is national in scope and unique to the provider.

What is the purpose of a National Provider Identification (NPI) number?

The NPI number is a single identification number that is issued by the federal government to health care providers. It is intended to improve the efficiency of the health care system and help to reduce fraud and abuse.

Who can receive a National Provider Identifier (NPI) number?

An NPI Number will be assigned to health care providers and professionals who need them to submit claims or conduct other transactions. A “health care provider” is defined as an individual, group, or organization that provides medical or other health services.

Can a Health Educator have a National Insurance Provider (NPI) number?

Yes, appropriately trained and credentialed health educators and patient health educators are eligible to submit an application to receive an NPI number. They may also apply for and receive professional liability insurance for health education services.

Can a Health Educator’s services be billed for and reimbursed?

Yes, there are two avenues for billing and potential reimbursement. Where applicable, and with the appropriate CPT codes, services of a health educator may be billed for and reimbursable through a medical practice, physician’s practice, nurse practitioner’s practice or other medical professional provider’s office. Patients who receive services directly from a health educator, with a National Insurance Identification number, may be able to submit the services to their employer’s Flex Spending or similar healthcare spending plan.

What qualifications must the Health Educator have for billing?

The qualifications of the non-physician health care professionals who provide health education, and the content of the educational and training program, must be consistent with guidelines or standards established or recognized by a physician society, non-physician healthcare professional society/association, or other appropriate source.

Where can I learn more about appropriate training and credentialing in patient health education for non-physician health professionals?

The National Institute of Whole Health has been providing professionally accredited/approved professional development programs and continuing education courses in patient health education since 1977. For more information about available post-professional patient health education training you may contact NIWH at 888-354-4325 or contact us.

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Testimonials

While it is generally difficult for large numbers of Americans to agree on the same issue, it seems that when it comes to pets and the value we place on them, there is little disagreement.

Jacqui Bryan

Last year, a study at the University of Kentucky College of Arts and Sciences examined the connection and possible overlap between physical pain and emotional pain, offering insight into the pain of heart break.

Dr. Lynn Jonen, PhD

Most of us perceive the brain as being for thinking, or intellectual functions. But then what are emotions? We often think of ourselves, our personality, as what is going on in those intellectual functions from the neck up.

Tamara Golden

Whole Health training developed my confidence to further my education as a Women’s Health Nurse Practitioner with Georgetown’s University’s MSN and DNP program. Being a whole health educator, patient advocate, wellness coach, and a future medical provider will give the women I serve a holistic healthcare experience.

Calandra Eddington

Without question, the program exceeded my expectations. After graduation from the NIWH and obtaining my Certified Whole Health Educator designation in 2009, I was allowed to serve as an advisor for the NIWH programs.

Dr. Bill Croft

The program presents you with a priceless opportunity to contribute to ‘goodness’ and well-being in the world. Especially these days, when the world seems to be in chaos, spinning freely, and out of control.

Eileen Foti

Calandra Eddington

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