#1234567890
Expires 2026-08-01
Expires 2027-03-15
8 credential types in this category. Add what applies to you — state requirements differ by where you practice.
10-digit NPI. Permanent, no renewal. Required for billing.
Current CV with no unexplained gaps. Most credentialers require updated within last 90 days.
Valid state ID for I-9 + facility badge issuance.
Recent (within 2 years) professional headshot for credentialing applications + employer materials.
Social Security card or W-2 / 1099 showing SSN — required for credentialing applications.
Useful for international locum work, conference travel, or backup ID.
CAQH ProView number. Universal credentialing data set most major payers + facilities pull from. Re-attest every 120 days.
Catch-all for credentials that didn't match a specific type. Set the title + issuing body manually below.