Nurse Practitioner (NP) Credentialing Checklist

Nursing degree (BSN and MSN or DNP transcripts) Required

Current state NP license (all states where practicing) Required

National certification (AANP or ANCC) Required

Collaborative practice agreement (if required by state) Optional

DEA certificate (current and valid) Required

NPI number confirmation Required

CAQH ProView profile (completed and attested) Required

Current malpractice insurance certificate (face sheet) Required

Prescriptive authority documentation Required

CPR / BLS certification (current) Required

Professional references (minimum 3 peer references) Required

Curriculum vitae / resume (up to date, no gaps) Required

Government-issued photo ID (driver's license or passport) Required

Signed attestation questionnaire Required

W-9 form (completed and signed) Required