Client Resources
Credentialing Portal
Login to our credentialing portal to complete your credentialing application, review your credentialing file, upload documents, and other functions. Login at www.MyNCRED.comFile Sharing Server Login
Login to retrieve your completed applications, review your contract files, retrieve information shared by your nCred representative, or send us new documents.
Upload documents to nCred
nCred Forms
Initial Credentialing Information Form
Practitioner Add-on Form (add a new practitioner to your credentialing subscription)
IRS Forms
W-9CP575 (click for an example)
A CP575 is a verification of your EIN that is produced at the time your EIN is issued. The form cannot be reproduced by the IRS. If you have lost your CP575, you can call the IRS and request letter 147C which is a verification of your EIN and legal business name by the IRS. Either a CP575 or a letter 147C is required by Medicare when enrolling as a group/supplier.
IRS Telephone Assistance for Businesses:
Toll-Free, 1-800-829-4933
Hours of Operation: Monday – Friday, 7:00 a.m. – 10:00 p.m. your local time (Alaska & Hawaii follow Pacific Time).
Enrollment Forms
Medicare
List of Medicare Intermediaries by State
CMS 855I - Individual Medicare enrollment applicationCMS 855B - Group / Supplier enrollment application
CMS 855R - Medicare re-assignment of benefits
CMS 855S - DMEPOS Supplier application
CMS 855O - Individual physicians and non-physicians for ordering and referring items or services
CMS 855A - Institutional Providers
CMS 588 - Electronic Funds Transfer (EFT) Authorization
CMS 460 - Medicare participation election
