Noridian Healthcare Solutions (Jurisdiction E)
Credentialing and enrollment guides for Noridian Healthcare Solutions (Jurisdiction E) across 13 states.
Quick Overview
Timeline
45 - 120 days
CAQH
Not Required
Re-credentialing
Every 5 year(s)
States Available
13
How Noridian Healthcare Solutions (Jurisdiction E) Credentialing Actually Works
Verified July 2026Apply Through
Timeline
PECOS web runs about 45 to 60 days typical; paper or applications with information requests run 90 to 180 days
Recredentialing
Revalidation every 5 years with no grace period
Noridian Healthcare Solutions (Jurisdiction E) is the Medicare Administrative Contractor that processes Part A and B enrollment (the 855 series) for California, Hawaii, Nevada, and the Pacific territories. You do not apply to the MAC directly: PECOS auto routes your application to it based on your practice state.
The stall to avoid: PECOS web always beats paper, and a development request unanswered for 30 days is a rejection. Track your revalidation due date: CMS posts it about 7 months ahead.
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.
About Noridian Healthcare Solutions (Jurisdiction E)
Medicare Administrative Contractor for Jurisdiction E. Processes Part A and Part B claims.
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Prepare Your Application
Complete Noridian Healthcare Solutions (Jurisdiction E)'s provider enrollment application with all required information and supporting documentation.
Submit Your Application
Submit your completed enrollment package to Noridian Healthcare Solutions (Jurisdiction E). Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 45-120 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Noridian Healthcare Solutions (Jurisdiction E)?
Our specialists handle the entire Noridian Healthcare Solutions (Jurisdiction E) enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
CV/Resume
DEA License
Required if applicable
Malpractice Insurance
Medical License
NPI Certificate
Contact Information
Claims Inquiry
1-855-609-9960
Medicare Enrollment
1-866-837-0241
Medicare Appeals
1-855-609-9960
Need Help?
Let PayerReady handle your Noridian Healthcare Solutions (Jurisdiction E) credentialing and enrollment.
Get Started NowAvailable 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.
Select Your State
Choose your state for Noridian Healthcare Solutions (Jurisdiction E)-specific credentialing details including timelines, contacts, and local requirements.
Noridian Healthcare Solutions (Jurisdiction E) credentialing requirements by state
Noridian Healthcare Solutions (Jurisdiction E) enrollment is not identical everywhere. The table below lists what actually differs across the 13 states Noridian Healthcare Solutions (Jurisdiction E) operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Network | Timeline | Portal / phone | State-specific notes |
|---|---|---|---|---|
| Alaska | Open | 60–90 days |
Provider portal
1-855-609-9960
|
Noridian Healthcare Solutions (MAC Jurisdiction E) processes all Medicare Part A/B claims for Alaska. Providers must enroll through PECOS (https://pecos.cms.hhs.gov) using CMS-855I for individual practitioners or CMS-855B for group practices. Alaska is classified under CMS screening categories; initial applicants in moderate- or high-risk categories may be subject to fingerprint-based criminal background checks per ACA Section 6401. A valid NPI is required before enrollment can be submitted. Processing typically takes 60–90 days for initial applications and 30–60 days for revalidation, which is required every 5 years. |
| Arizona | Open | 60–90 days |
Provider portal
1-855-609-9960
|
Noridian Healthcare Solutions (MAC Jurisdiction E) processes all Medicare Part A/B claims for Arizona. Enrollment is completed via PECOS using CMS-855I (individual) or CMS-855B (group/clinic). Arizona has experienced heightened CMS scrutiny for certain provider types, and providers in high-risk categories (such as home health agencies and DMEPOS suppliers) may face enhanced screening, including site visits and fingerprint-based background checks. All providers must maintain a valid NPI and revalidate every 5 years. Initial enrollment processing typically takes 60–90 days. |
| California | Open | 60–90 days |
Provider portal
1-855-609-9960
|
Noridian Healthcare Solutions (MAC Jurisdiction E) processes all Medicare Part A/B claims for California. California is one of the highest-volume Medicare states, and Noridian manages a large provider population. Enroll via PECOS using CMS-855I (individual), CMS-855B (group), or CMS-855O (ordering/referring only). Due to its size, California has been subject to enhanced fraud prevention measures in certain counties (e.g., Los Angeles, San Bernardino); providers in designated high-risk geographic areas may face additional screening. A valid NPI is mandatory, and revalidation occurs every 5 years. Initial enrollment takes 60–90 days. |
| Hawaii | Open | 60–90 days |
Provider portal
1-855-609-9960
|
Noridian Healthcare Solutions (MAC Jurisdiction E) processes all Medicare Part A/B claims for Hawaii. Providers enroll through PECOS using CMS-855I (individual) or CMS-855B (group). Hawaii has a relatively small Medicare provider base, which can facilitate faster processing in some cases, though the standard timeline remains 60–90 days for initial enrollment. All applicants must hold a valid NPI and complete revalidation every 5 years. CMS standard screening protocols apply; moderate-risk providers may undergo enhanced screening. |
| Idaho | Open | 60–90 days |
Provider portal
1-855-609-9960
|
Noridian Healthcare Solutions (MAC Jurisdiction E) processes all Medicare Part A/B claims for Idaho. Enrollment is submitted through PECOS using CMS-855I (individual) or CMS-855B (group). Idaho providers should ensure their practice location information is current, as rural-area providers may have additional considerations for site visits. A valid NPI is required, and revalidation occurs on a 5-year cycle. Initial applications typically take 60–90 days to process; revalidations generally take 30–60 days. |
| Montana | Open | 60–90 days |
Provider portal
1-855-609-9960
|
Noridian Healthcare Solutions (MAC Jurisdiction E) processes all Medicare Part A/B claims for Montana. Providers must enroll via PECOS using CMS-855I for individuals or CMS-855B for groups. Montana has a significant rural provider population; CMS may conduct site visits for providers in remote areas to verify practice location legitimacy. A valid NPI is required. Revalidation is required every 5 years, and initial enrollment processing typically takes 60–90 days. |
| North Dakota | Open | 60–90 days |
Provider portal
1-855-609-9960
|
Noridian Healthcare Solutions (MAC Jurisdiction E) processes all Medicare Part A/B claims for North Dakota. Noridian is headquartered in Fargo, ND, giving providers convenient access to the MAC. Enrollment is via PECOS using CMS-855I (individual) or CMS-855B (group). Standard CMS screening protocols apply. A valid NPI is required, and revalidation occurs every 5 years. Initial enrollment typically processes in 60–90 days; revalidation takes 30–60 days. |
| Nevada | Open | 60–90 days |
Provider portal
1-855-609-9960
|
Noridian Healthcare Solutions (MAC Jurisdiction E) processes all Medicare Part A/B claims for Nevada. Enroll through PECOS using CMS-855I (individual) or CMS-855B (group). Nevada, particularly the Las Vegas metropolitan area, has been identified as a high-risk geographic area for certain provider categories, which may trigger enhanced enrollment screening including fingerprint-based background checks and site visits. All providers must have a valid NPI and revalidate every 5 years. Initial enrollment takes 60–90 days. |
| Oregon | Open | 60–90 days |
Provider portal
1-855-609-9960
|
Noridian Healthcare Solutions (MAC Jurisdiction E) processes all Medicare Part A/B claims for Oregon. Providers must enroll through PECOS using CMS-855I (individual) or CMS-855B (group). Oregon has a mix of urban and rural providers; CMS applies standard screening for limited-risk categories and enhanced screening (including possible site visits) for moderate- and high-risk categories. A valid NPI is required. Revalidation is every 5 years, and initial enrollment processing takes approximately 60–90 days. |
| South Dakota | Open | 60–90 days |
Provider portal
1-855-609-9960
|
Noridian Healthcare Solutions (MAC Jurisdiction E) processes all Medicare Part A/B claims for South Dakota. Enrollment is completed via PECOS using CMS-855I for individual practitioners or CMS-855B for groups. South Dakota has a smaller provider population, and Noridian is the regional MAC contractor well-suited to the area. Standard CMS screening applies. All providers must have a valid NPI and revalidate every 5 years. Initial enrollment typically takes 60–90 days. |
| Utah | Open | 60–90 days |
Provider portal
1-855-609-9960
|
Noridian Healthcare Solutions (MAC Jurisdiction E) processes all Medicare Part A/B claims for Utah. Providers enroll through PECOS using CMS-855I (individual) or CMS-855B (group). Utah providers should be aware that CMS has designated certain provider types as high-risk, which may require fingerprint-based background checks upon initial enrollment. A valid NPI is mandatory, and revalidation occurs every 5 years. Processing typically takes 60–90 days for initial enrollment and 30–60 days for revalidation. |
| Washington | Open | 60–90 days |
Provider portal
1-855-609-9960
|
Noridian Healthcare Solutions (MAC Jurisdiction E) processes all Medicare Part A/B claims for Washington State. Enrollment is via PECOS using CMS-855I (individual) or CMS-855B (group). Washington has a large and diverse provider base, including significant telehealth utilization; providers offering telehealth services across state lines should verify their enrollment covers the service location. A valid NPI is required. Revalidation is every 5 years, and initial enrollment takes approximately 60–90 days. |
| Wyoming | Open | 60–90 days |
Provider portal
1-855-609-9960
|
Noridian Healthcare Solutions (MAC Jurisdiction E) processes all Medicare Part A/B claims for Wyoming. Providers must enroll via PECOS using CMS-855I for individuals or CMS-855B for group practices. Wyoming is one of the smallest Medicare markets, and the rural nature of many practices means CMS may require site visits to verify practice locations. A valid NPI is required, and revalidation occurs every 5 years. Initial enrollment processing typically takes 60–90 days. |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified March 22, 2026. Network status changes without notice — confirm before you file.
Common questions about Noridian Healthcare Solutions (Jurisdiction E) credentialing
How long does Noridian Healthcare Solutions (Jurisdiction E) credentialing take?
Noridian Healthcare Solutions (Jurisdiction E) credentialing typically takes 45–120 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.
Does Noridian Healthcare Solutions (Jurisdiction E) require CAQH?
No. Noridian Healthcare Solutions (Jurisdiction E) does not enroll through CAQH ProView, so credentialing data is submitted directly on Noridian Healthcare Solutions (Jurisdiction E)'s own application instead. You still need the same underlying documents — license, DEA where applicable, malpractice coverage and work history.
Which states does Noridian Healthcare Solutions (Jurisdiction E) operate in?
Noridian Healthcare Solutions (Jurisdiction E) has credentialing operations in 13 states. 13 of those 13 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.