Are you a healthcare provider looking to understand what is a Medicaid provider number? Look no further! 

In this guide, we will break down everything you need to know about Medicaid provider numbers and how they impact your practice. 

From understanding the different types of providers eligible for Medicaid enrollment to navigating the application process, we’ve got you covered.

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Keep reading to gain a better understanding of what it takes to become a successful Medicaid provider.

Introduction to Medicaid Provider Number

As a healthcare provider, you may come into contact with Medicaid patients on a regular basis. In order to provide care for these patients, you will need to have a Medicaid provider number. 

This number is assigned by your state’s Medicaid agency and allows you to bill Medicaid for the services you provide.

Each state has its own process for getting a Medicaid provider number. In some states, you may be able to apply online while in others you will need to submit a paper application.

Once your application has been processed, you will be assigned a provider number that is specific to your practice location and the type of service provided. This way you can find your Medicaid provider number.

It is important to keep your Medicaid provider number up-to-date and active in order to continue billing Medicaid for services rendered.

If your number becomes inactive or expires, you will no longer be able to bill Medicaid and could lose out on reimbursement for services already provided.

So before going to any further information, first let’s understand, what is the Medicaid provider number?

What is a Medicaid Provider Number?

What is a Medicaid Provider Number

A Medicaid provider id number is a unique identifier assigned to healthcare providers who participate in the Medicaid program.

Provider numbers are used by Medicaid agencies to track provider participation and claims activity.

Mostly state Medicaid agencies are medicaid id number providers.

Some states may also issue provider numbers for specific provider types, such as hospitals or pharmacies.

In some cases, national accrediting organizations may also assign Medicaid provider numbers.

Provider numbers usually consist of a series of letters and/or numbers.

They may be printed on providers’ identification cards, invoices, and other correspondence from Medicaid agencies.

Provider numbers may be required when submitting claims or requesting reimbursement from Medicaid.

Medicaid Provider Number (MPN) is generally a 6-digit verification number that verifies the authenticity of Medicare providers.

The first two digits represent the state where the provider is located. And the last 4 digits specify the type of facility that the provider serves in.

For Ambulatory Surgery Centers, the MPN is a 10-digit number.

Here, the first two digits represent the state where the center is located and the rest 8 represent the type of facility provided.

It is also popularly known by some other names like OSCAR (Online Survey, Certification, and Reporting) Number, Provider Number, and Medicaid Identification Number (MIN).

Not to be confused, all these names represent one number only.

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Benefits of Having a Medicaid Provider Number

Having a Medicaid identification number can bring numerous benefits to healthcare providers, patients, and the overall healthcare system.

Here are some of the key advantages:

1. Enhanced Patient Access

By having a Medicaid provider number, healthcare providers become eligible to treat Medicaid patients. This means that they can offer their services to a broader range of individuals who may not be able to afford private insurance or pay for medical care out-of-pocket.

2. Guaranteed Payment

Participating in the Medicaid program ensures that payments for services rendered are guaranteed by the government.

Unlike other insurance plans that may have delayed or denied reimbursements, Medicaid payments are typically made promptly and efficiently.

3. Increased Revenue Opportunities

Becoming a registered Medicaid provider opens up new revenue streams for healthcare facilities as they have access to an entirely new patient base which would increase their earning potential.

4. Better Reputation

A facility with a valid Medicaid Provider Number will be seen as reputable within the community because it shows its willingness to serve everyone regardless of financial status.

5. Improved Quality Of Care

With increased funding from treating more patients through Medicaid, Providers will have funds available which could be used in improving the quality of care like hiring more staff, using better equipment/machines, etc.

Overall, obtaining a Medicaid provider number is crucial for any healthcare institution looking towards providing quality healthcare service while also increasing its patient base and revenue stream without compromising on reputation and payment security issues.

How to Get Your Own Medicaid Provider Number

If you’re a healthcare provider who wants to start billing Medicaid, you’ll need to get your own Medicaid Provider Number.

Here’s how:

1. Contact your state’s Medicaid office. You’ll need to provide them with some basic information about yourself and your practice, including your National Provider Identification (NPI) number.

2. Once you’ve been approved, you’ll be assigned a Medicaid Provider Number. This number will be used on all claims and correspondence with Medicaid.

3. Make sure to keep your Medicaid Provider Number up to date. If you move or change practices, be sure to notify the Medicaid office so that your records can be updated accordingly.

How to Verify Your Medicaid Provider Number

In order to verify your Medicaid provider number, you will need to contact your state’s Medicaid office. 

You can find the contact information for your state’s Medicaid office by visiting the Centers for Medicaid Services website. 

Once you have reached out to your state’s Medicaid office, they will be able to provide you with verification of your provider number.

Importance of Medicaid Provider Number (MPN) in Healthcare

CMS issues an MPN to be used by Medicaid for surveys, certifications, and assessments of patients. An MPN is obtained after passing a survey or inspection by Medicaid.

An MPN will not be provided to providers who are not involved in Medicaid. Hence, it is mandatory for providers to participate in Medicaid.

Importance of Medicaid Provider Number

As mentioned above, besides MPNs, another name for them is OSCAR numbers (Online Survey, Certification, and Reporting).

While not the primary identification method for Medicaid providers anymore, the MPN once served as the primary identifier.

The Medicaid Provider Number (MPN) was officially renamed to the CMS Certification Number (CCN) by CMS on April 20, 2007; at that time, the National Provider Identifier (NPI) became the new primary identification standard for Medicaid providers.

Providers continue to receive the MPN (or CCN), however, to verify their Medicaid certifications, surveys, and patient assessments.

We hope we were able to come up with all the needed information related to physicians medicare numbers.

Do let us know if you have any queries on any sort of healthcare data.

Feel free to reach out to us at [email protected] and get your queries solved by the enthusiast data experts at Ampliz.


We hope this guide has provided you with a better understanding of Medicaid provider numbers. 

Knowing how to obtain and use your own Medicaid provider number is essential for healthcare providers who want to provide services to those enrolled in the program.

With the right knowledge and information, you can easily become an approved Medicaid provider so that you can offer quality care to those in need.

Frequently Asked Questions On Medicaid

How many digits is a Medicaid id number?

how many digits is a medicaid id number

How many digits does a Medicaid ID number typically have?

The Medicaid ID number is a unique identifier assigned to individuals who are enrolled in the Medicaid program. The number consists of 9 digits and is used for identification purposes when billing and interacting with Medicaid.

How to find the Medicaid id number?

How to find Medicaid id number

If you need to find a Medicaid ID number, there are a few ways you can do so.

First, you can check your Medicaid card. The ID number will be listed on the card, typically towards the bottom.

If you do not have your card with you, or if you cannot find it, you can also call your state’s Medicaid office.

The phone number will be listed on your state’s website. When you call, they will likely ask for some basic information in order to verify your identity before giving you the ID number.

How to use your Medicaid id number?

Your Medicaid ID number is your key to accessing Medicaid services.

It is unique to you and allows Medicaid staff to quickly identify your eligibility for coverage and benefits.

The steps below will help you understand and use your Medicaid ID number.

1. Locate your Medicaid ID number. Your Medicaid ID number can be found on the front of your Medicaid card. If you do not have a physical Medicaid card, you can find your Medicaid ID number by logging into your account on the state Medicaid website.

2. Use your Medicaid ID number when contacting Medicaid about coverage or benefits. When calling or writing to ask about anything related to your coverage or benefits, be sure to include your Medicaid ID number so that staff can easily access your information.

3. Keep your Medicaid ID number safe and secure. You should never give out your Medicaid ID number to anyone who does not need it in order to provide you with healthcare or other covered services.