Medicare

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

Network: Open
60-90 Days

Quick Overview

Timeline

60 - 90 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

Delegated

No

Wisconsin-Specific Requirements

National Government Services (NGS), operating under MAC Jurisdiction K/J6, processes all Medicare Part A/B claims for Wisconsin. Enrollment is via PECOS using CMS-855I (individual) or CMS-855B (group). Wisconsin has a strong healthcare system with major providers including Marshfield Clinic and UW Health. CMS standard screening applies for most provider categories. Providers should note that while WPS is the MAC for Jurisdiction F/J5 (neighboring states), Wisconsin itself is under NGS. 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 Wisconsin.

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 Wisconsin.

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

Connecticut Illinois Massachusetts Maine Minnesota New Hampshire New York Rhode Island Vermont

Other Payers in Wisconsin

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Anthem Blue Cross and Blue Shield of Wisconsin Wisconsin Medicaid UnitedHealthcare Community Plan
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