
If you are a birth doula, you may need a National Provider Identifier (NPI) to bill Medicaid or work with insurance providers. Some Medicaid programs are adding doula services as a covered benefit, making it important to apply for an NPI now—even if you do not currently need it.
Applying for an NPI is free, and no one should charge you for the application process. This guide explains what an NPI is, why doulas should get one, and how to apply quickly.
What is an NPI?
An NPI (National Provider Identifier) is a 10-digit unique number assigned to health care providers, including doulas. It is issued by the Centers for Medicare & Medicaid Services (CMS) through the National Plan and Provider Enumeration System (NPPES).
Once you receive an NPI, it stays the same for life, even if you change your business details.
Why Should Doulas Get an NPI?
Doulas should apply for an NPI now because it may be required in the future. Having an NPI is beneficial for several reasons:
-
- Medicaid Enrollment: Some Medicaid programs are beginning to cover doula services. An NPI is required to become a Medicaid provider.
-
- Insurance Reimbursement: Some private insurance companies may also require an NPI for reimbursement.
-
- Credentialing and Professional Recognition: Having an NPI helps doulas establish themselves as health care providers.
-
- Future Flexibility: Even if you do not need an NPI today, having one means you are prepared for future opportunities that may require it.
How to Apply for an NPI Number as a Doula
Doulas can apply for an NPI in two ways:
1. Online Application (Fastest and Recommended Method)
The quickest way to apply is through the NPPES website.
-
- Go to the NPPES website and click “Apply for an NPI”
-
- Create an account or log in if you already have one
-
- Complete the application with your personal and professional information
-
- Submit the application and wait for approval
Most applicants receive their NPI in fewer than 10 business days.
2. Paper Application
For those who prefer a paper application:
-
- Call 800-465-3203 (TTY: 800-692-2326) to request an application
-
- Email customerservice@npienumerator.com to request a form
-
- Mail the completed application (processing takes around 20 business days)
What Information is Needed to Apply?
Doulas should have the following information ready when applying:
-
- Full Name and Contact Information (Address, phone, email)
-
- Date of Birth
-
- Provider Taxonomy Code: The taxonomy code for doulas is 374J00000X
-
- Certification or Licensing Details (if required in your state or region)
Frequently Asked Questions
How long does it take to get an NPI?
-
- Online applications: Usually processed in fewer than 10 business days
-
- Paper applications: Typically take about 20 business days
Is there a cost to apply for an NPI?
No. Applying for an NPI is completely free. If someone asks for payment, it is likely a scam.
Can doulas apply for an NPI without a license?
Yes, in most cases. Some states or Medicaid programs may require certification or licensing, so it is best to check local requirements if you plan to bill for services.
I got my NPI. Can I start billing Medicaid now?
Not yet. An NPI is just one step in the process of becoming a Medicaid provider. Check for updates on when provider enrollment opens and what your specific state requires.
How do I update my NPI information?
To update your information:
-
- Visit NPPES and log in
-
- Select “Manage NPI” to update details
Do I need an NPI if I do not bill insurance?
While not required for all doulas, having an NPI can be useful for future opportunities, especially if you later decide to work with Medicaid, insurance companies, or health care providers.
Applying for Your Doula NPI
Applying for an NPI is a simple, free process that prepares doulas for potential Medicaid enrollment, insurance billing, and professional growth. Even if you do not need it today, having an NPI can help you access future opportunities.
Start your application today: NPPES Application Portal
For more doula business support, check out Doula Office Hours.