Medicare

How to Get Credentialed with National Government Services (Jurisdiction K/J6) in Rhode Island

Network: Open
60-90 Days

Quick Overview

Timeline

60 - 90 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

Rhode Island-Specific Requirements

National Government Services (NGS), operating under MAC Jurisdiction K/J6, processes all Medicare Part A/B claims for Rhode Island. Rhode Island is the smallest state geographically but has a concentrated provider population, particularly around Providence. Enrollment is via PECOS using CMS-855I (individual) or CMS-855B (group). CMS standard screening applies. Providers who also practice in neighboring Massachusetts or Connecticut benefit from the same MAC handling all three states. A valid NPI is required, and revalidation is every 5 years. Initial enrollment takes 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 Rhode Island.

2

Prepare Your Application

Complete National Government Services (Jurisdiction K/J6)'s provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to National Government Services (Jurisdiction K/J6).

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

1-888-855-4325

Medicare Enrollment

National

Medicare Appeals

National

1-888-855-4325

Quick Links

National Government Services (Jurisdiction K/J6) Website Provider Portal

Need Help?

Let PayerReady handle your National Government Services (Jurisdiction K/J6) enrollment in Rhode Island.

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National Government Services (Jurisdiction K/J6) in Other States

Connecticut Illinois Massachusetts Maine Minnesota New Hampshire New York Vermont Wisconsin

Other Payers in Rhode Island

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Blue Cross & Blue Shield of Rhode Island Rhode Island Medicaid UnitedHealthcare Community Plan
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