How to Get Credentialed with Alignment Healthcare in Nevada
Alignment Healthcare in Nevada: by the numbers
Verified figures for this state, not national averages.
- Counties containing at least one member
- 2
- Distinct plans
- 8
- Counties with a plan offered
- 2
- Medicare Advantage service area
- offers Medicare Advantage plans in 2 of the 11 counties in this state that have any MA plan
- Largest counties by enrollment
- Clark (21,570), Washoe (2,048)
- Medicare Advantage members in state
- 23,618
Source: CMS Monthly Enrollment by Contract/Plan/State/County (2026-07) · CMS Medicare Advantage Plan Landscape (CY2026) · Verified July 2026
Quick Overview
Timeline
30 - 60 days
CAQH
Required
Re-credentialing
Every 3 year(s)
Delegated
No
How Alignment Healthcare Credentialing Actually Works
Verified July 2026Apply Through
Timeline
Not published by the payer
Recredentialing
Not published by the payer
Alignment Health is a Medicare Advantage focused plan. Credentialing follows the standard CMS and NCQA rules and works from your CAQH ProView data; apply through the plan's provider enrollment channel and confirm its current service counties first.
The stall to avoid: Growth stage Medicare Advantage plans change service areas year to year: confirm the plan operates in your county for the current plan year before applying.
From PayerReady's payer enrollment research, built from the payer's own provider manuals and enrollment pages. Payer processes change; when a fact is not published by the payer, we say so rather than guess.
Nevada-Specific Requirements
Step-by-Step Enrollment Process
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Nevada.
Complete Your CAQH ProView Profile
Alignment Healthcare requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 120 days.
Submit Your Application
Submit your completed enrollment package to Alignment Healthcare.
Track & Follow Up
Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Alignment Healthcare?
Our specialists handle the entire Alignment Healthcare enrollment process: applications, follow-ups, and approvals in Nevada.
Required Documents Checklist
Board Certification
ConditionalRequired if board certified; highly recommended
CV/Resume
5-year work history minimum
DEA License
ConditionalRequired if prescribing controlled substances
Malpractice Insurance
Current malpractice insurance certificate
Medical License
Active state medical license required
NPI Certificate
Active NPI number required
Free Tools for Your Alignment Healthcare Enrollment
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Key Credentialing Terms
- CAQH
- The Council for Affordable Quality Health Care, an organization that maintains a universal provider database (CAQH ProVi...
- Credentialing
- The process of verifying a healthcare provider's qualifications, training, licensure, and professional background to ens...
- Effective Date
- The date on which a provider's enrollment or network participation becomes active, allowing them to begin billing a paye...
- NPI
- The National Provider Identifier is a unique 10-digit identification number issued by CMS to healthcare providers, requi...
- Primary Source Verification
- The process of verifying a provider's credentials directly from the original issuing source, such as medical schools, li...
- Provider Enrollment
- The process by which a healthcare provider applies to participate in an insurance payer's network, allowing the provider...
- Re-credentialing
- The periodic process, typically occurring every three years, in which a provider's credentials are re-verified to ensure...
Credentialing Checklist
Make sure you have everything ready before applying to Alignment Healthcare.
View Physician Credentialing Checklist →Contact Information
Provider Credentialing
National1-844-310-2247
Mon-Fri 8am-5pm
Provider Services
National1-844-310-2247
Claims & Billing
National1-844-310-2247
Quick Links
Alignment Healthcare in Other States
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.