Medicare

How to Get Credentialed with Noridian Healthcare Solutions (DME A/D) in New Jersey

Network: Open
60-120 Days

Quick Overview

Timeline

60 - 120 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

New Jersey-Specific Requirements

Noridian DME MAC (Jurisdiction A) processes all Medicare DMEPOS claims for New Jersey. Suppliers enroll via PECOS using CMS-855S. A $50,000 surety bond is required, along with accreditation from a CMS-approved organization. New Jersey has a high density of DMEPOS suppliers, and CMS conducts rigorous screening in this state, including fingerprint-based criminal background checks, unannounced site visits, and verification of supplier standards compliance. A valid NPI is required, and revalidation is every 5 years. Initial enrollment takes 60–120 days.

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for New Jersey.

2

Prepare Your Application

Complete Noridian Healthcare Solutions (DME A/D)'s provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Noridian Healthcare Solutions (DME A/D).

4

Track & Follow Up

Credentialing typically takes 60-120 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

CV/Resume

DEA License

Conditional

Required if applicable

Malpractice Insurance

Medical License

NPI Certificate

Contact Information

Claims Inquiry

National

1-855-609-9960

Medicare Enrollment

National

Medicare Appeals

National

1-855-609-9960

Quick Links

Noridian Healthcare Solutions (DME A/D) Website Provider Portal

Need Help?

Let PayerReady handle your Noridian Healthcare Solutions (DME A/D) enrollment in New Jersey.

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Noridian Healthcare Solutions (DME A/D) in Other States

Alaska Arizona California Connecticut District Of Columbia Delaware Hawaii Idaho Massachusetts Maryland

Other Payers in New Jersey

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Horizon Blue Cross Blue Shield of New Jersey NJ FamilyCare UnitedHealthcare Community Plan
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