Commercial
Kaiser Permanente
Credentialing and enrollment guides for Kaiser Permanente across 9 states.
60-90 days
CAQH Required
Re-credential every 3 yrs
About Kaiser Permanente
Integrated closed-model HMO. Primarily employs own physicians. External/community providers credentialed for specialized/supplemental services.
Required Documents
Board Certification
Required if board certified; highly recommended
CV/Resume
DEA License
Required if prescribing controlled substances
Malpractice Insurance
Medical Degree
Medical License
NPI Certificate
Professional Reference
W9_FORM
Enrollment Forms
CAQH ProView
Universal credentialing application used by most commercial and BCBS payers.
Online
Download
Kaiser Permanente Provider Application
Online
Select Your State
Choose your state for Kaiser Permanente-specific credentialing details including timelines, contacts, and local requirements.
Alabama
Alaska
Arizona
Arkansas
California
Varies
Colorado
Varies
Connecticut
Delaware
District Of Columbia
Varies
Florida
Georgia
Varies
Hawaii
Varies
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Varies
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Varies
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Varies
Virgin Islands
Washington
Varies
West Virginia
Wisconsin
Wyoming