1099 Independent Contractor

Independent contractor work at ASCs or hospitals. Tax + insurance becomes your responsibility — broader doc set.

Required documents

Preferred documents

Context

1099-independent

Sample data shown. Sign up to diff this template against your real credentials and see exactly what's missing.

Required (in sample packet)

NBCRNA CRNA Certification

Certifications

Active

BLS Provider (AHA)

Certifications

Expiring soon

ACLS Provider (AHA)

Certifications

Active

DEA Registration

Controlled Substance

Active

National Provider Identifier (NPI)

Personal Documents

Active

Curriculum Vitae (current, gap-explained)

Personal Documents

Expiring soon

Driver's license / Government photo ID

Personal Documents

Active

SSN card / verification

Personal Documents

Active

RN diploma / degree (BSN/ADN)

Education

Active

Nurse anesthesia program degree (MSN/DNP)

Education

Active

Malpractice insurance — current policy

Insurance

Active

Malpractice tail / nose coverage proof

Insurance

Missing

W-9 (current)

Tax

Missing

TB screening (PPD or QuantiFERON)

Health & Immunizations

Active

MMR immunity (titer or vaccine record)

Health & Immunizations

Active

Varicella immunity

Health & Immunizations

Active

Hepatitis B immunity

Health & Immunizations

Active

Influenza vaccine (current season)

Health & Immunizations

Active

Drug screen (recent)

Health & Immunizations

Expiring soon

Criminal background check

Background & Fingerprints

Active

Professional references (3-5)

References

Active

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