Key Takeaways
- Applying for an NPI number is free through NPPES. If anyone asks you to pay, it is a scam.
- The doula taxonomy code is 374J00000X, defined by the National Uniform Claim Committee (NUCC).
- You do not need to be an RN or LPN to register an NPI under the doula taxonomy code.
- Online NPI applications are usually approved in fewer than 10 business days.
- An NPI is required to enroll as a Medicaid provider in states that cover doula care.
What is an NPI number?
An NPI (National Provider Identifier) is a 10-digit 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 name or address.
Why should doulas get an NPI number?
Doulas should apply for an NPI now because it is increasingly required to get paid through public and private payers. Having one is useful for several reasons:
- Medicaid enrollment: A growing number of states cover doula care under Medicaid, and an NPI is required to become a Medicaid provider.
- Insurance reimbursement: Some private insurance companies also require an NPI before they will reimburse you.
- Credentialing and professional recognition: An NPI helps establish you as a recognized health care provider.
- Future flexibility: Even if you do not need an NPI today, having one means you are ready when an opportunity requires it.
How do I apply for an NPI number as a doula?
Doulas can apply for an NPI in two ways.
1. Online application (fastest and recommended)
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 do I need to apply for an NPI?
Have the following ready when you apply:
- Full name and contact information (address, phone, email)
- Date of birth
- The doula taxonomy code, 374J00000X (see the next section for what this is and why it matters)
- Certification or licensing details (if required in your state or region)
What is the doula taxonomy code?
The doula taxonomy code is 374J00000X. It is the provider taxonomy the National Uniform Claim Committee (NUCC) assigns to doulas, and you enter it on your NPI application to identify yourself as a doula. The doula taxonomy covers labor, postpartum, and antepartum work, and you do not need an RN or LPN to use it.
The NUCC defined this code for doulas effective October 1, 2009, and groups it under nursing service related providers. You can confirm it on the CMS taxonomy reference.
More than 13,000 providers are now registered in NPPES under the doula taxonomy code, so it is well established and widely accepted by payers. When you reach the taxonomy step of your NPI application, search for "doula" or enter 374J00000X directly, and set it as your primary taxonomy.
Frequently Asked Questions
How long does it take to get an NPI?
Online applications are 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 through NPPES. If someone asks you for payment, it is a scam.
What is the doula taxonomy code?
The doula taxonomy code is 374J00000X, the provider taxonomy the National Uniform Claim Committee (NUCC) assigns to doulas. You enter it on your NPI application to identify yourself as a doula, and you do not need an RN or LPN to register under it.
Can doulas apply for an NPI without a license?
Yes, in most cases. Some states or Medicaid programs may require certification or licensing, so check your local requirements if you plan to bill for services.
I got my NPI. Can I start billing Medicaid now?
Not yet. An NPI is one step toward becoming a Medicaid provider. Check when provider enrollment opens in your state and what else your state requires.
Do I need an NPI if I do not bill insurance?
It is not required for every doula, but an NPI is useful if you may later work with Medicaid, insurance companies, or other health care providers. Having one ready means you are not scrambling when an opportunity appears.
Applying for your doula NPI
Applying for an NPI is a simple, free process that prepares you for Medicaid enrollment, insurance billing, and professional growth. Even if you do not need it today, having one helps you say yes to the opportunities ahead.
Start your application: NPPES Application Portal
For more support building your doula business, come to Doula Office Hours.