The Provider Enrollment Checklist
36 items across 5 phases — everything a provider needs in order before submitting a single enrollment application. Built from 18 years of in-house credentialing work.
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What's inside
5 phases. 36 items. Nothing invented — every item comes from a real application that stalled because it was missing.
- NPI (Type 1 + Type 2)
- DEA registration
- State licensure
- Board certifications
- Medical school diploma + transcripts
- + more
- Profile complete & attested (within 120 days)
- Addresses match application exactly
- Malpractice history uploaded
- Work history complete (no gaps)
- + more
- Certificate of insurance (current)
- Retroactive date documented
- Tail coverage letter if applicable
- Carrier contact information
- + more
- Group NPI registered
- Tax ID / EIN confirmation
- Practice address + billing address
- Rendering provider list finalized
- + more
- Priority payer list ranked
- PECOS enrollment status checked
- State Medicaid applications identified
- Commercial applications queued
- + more
Why it matters
Provider enrollment takes 60 to 180 days depending on the payer. The single biggest cause of delays isn't the payer — it's an incomplete application. A missing document doesn't pause the clock. It restarts it.
This checklist exists because we've managed in-house enrollment since 2008 and we've seen the same gaps cause the same delays for 18 years. Most of them are preventable. All of them are on this list.
Also free
More tools built from real credentialing work.
We do the work in-house, start to finish. No outsourcing, no software to manage. Just a specialist who handles your providers from application to approval.
Provider Enrollment Services is a credentialing and payer-enrollment service; approval decisions and timelines are determined by the payers and CMS, not PES.