Individual providers:
- Physician
- Nurse Practitioner
- Physician Assistant
- Chiropractor
- Optometrist
- Certified Nurse Midwife
- Psychologist: PhD, PsyD, EdD
- Limited Licensed Psychologist (LLP)
- Certified Social Worker (MSW, CSW, MALLP)
- Licensed Professional Counselor (LPC)
- Neuropsychologist
- Behavior Analyst
- Acupuncturist (LAc)
- Licensed Marriage and Family Therapist (LMFT)
Organizational providers:
- Acute Rehab Facilities, Home Health Care, Home Infusion, Hospital, Long Term Acute Care and Skilled Nursing Facilities (SNF)
- Behavioral Health Facilities (Should be submitted via the New Organizational Provider Enrollment only if they're accredited or able to provide proof of a successful CMS survey. If they're not accredited and don't provide CMS survey documentation, please submit all individual practitioners via a New Individual Provider Enrollment.)
- Freestanding Ambulatory Surgery Facility (ASF)
- Other health care organizational providers
- Community-based health centers
- ESRD providers
- Federally qualified health centers
- Hospices
- Laboratories
- Rehab facilities (PT, OT, ST)
- Retail health clinics
- Rural health clinics
- School-based health clinics
- Tribal health clinics
- Urgent care facilities
- Sleep Disorder Clinics