Medicare

How to Get Credentialed with Wisconsin Physicians Service (Jurisdiction F/J5) in Missouri

Network: Open
60-90 Days

Quick Overview

Timeline

60 - 90 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

Missouri-Specific Requirements

Wisconsin Physicians Service (WPS), operating under MAC Jurisdiction F/J5, processes all Medicare Part A/B claims for Missouri. Providers must enroll through PECOS using CMS-855I (individual) or CMS-855B (group). Missouri straddles two metropolitan areas (Kansas City and St. Louis) with significant provider populations. CMS standard screening applies; high-risk provider categories may be subject to enhanced screening. A valid NPI is mandatory, and revalidation occurs every 5 years. Initial enrollment takes approximately 60–90 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 Missouri.

2

Prepare Your Application

Complete Wisconsin Physicians Service (Jurisdiction F/J5)'s provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Wisconsin Physicians Service (Jurisdiction F/J5).

4

Track & Follow Up

Credentialing typically takes 60-90 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

1-866-837-0241

Medicare Enrollment

National

Medicare Appeals

National

1-866-837-0241

Quick Links

Wisconsin Physicians Service (Jurisdiction F/J5) Website Provider Portal

Need Help?

Let PayerReady handle your Wisconsin Physicians Service (Jurisdiction F/J5) enrollment in Missouri.

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Wisconsin Physicians Service (Jurisdiction F/J5) in Other States

Iowa Indiana Kansas Michigan Nebraska

Other Payers in Missouri

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Anthem Blue Cross and Blue Shield of Missouri Blue Cross Blue Shield of Kansas City MO HealthNet
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