PMHNP credentialing
PMHNP credentialing services for psychiatric nurse practitioners
We credential psychiatric mental health nurse practitioners with commercial payers, behavioral health networks, Medicare and Medicaid in every state where they are licensed. We have completed 100+ enrollments across 23 states for one PMHNP telehealth practice. Pricing starts at $80 per payer.
- Taxonomy 363LP0808X set up correctly from day one
- State-by-state enrollment for telehealth PMHNPs
- Weekly status updates on every application
Why PMHNPs are different
PMHNP credentialing has more moving parts than most
A PMHNP is a prescriber, often works by telehealth and may be licensed in several states. Each of those facts adds requirements that payers check.
Taxonomy 363LP0808X
This is the NPPES taxonomy for a psychiatric/mental health nurse practitioner. If NPPES, CAQH and the payer application show different taxonomies, payers can list you under the wrong specialty or deny claims.
Licensure and prescriptive authority
Each state sets its own rules. Some states grant full practice authority. Others require a collaborative or supervisory agreement with a physician before an NP can practice or prescribe, and payers may ask for a copy.
DEA registration per state
A DEA registration is generally tied to a state. A PMHNP who prescribes controlled substances in several states usually needs a registration for each, plus any state controlled substance license that state requires.
Medicare enrollment
NPs enroll in Medicare as individual practitioners through PECOS and reassign benefits to their group when needed. Medicare generally pays NPs a percentage of the physician fee schedule.
Behavioral health carve-outs
Many health plans send mental health claims through a separate behavioral health network or managing company. Credentialing with the medical plan does not always cover behavioral health, so we confirm which entity to apply to.
Multi-state telehealth
Payers pay the provider who is in-network where the patient is located. A telehealth PMHNP needs a license and enrollment in each state where patients sit during the visit.
What we handle
Everything a PMHNP needs to get in-network
- NPI registration or update, with taxonomy 363LP0808X and correct practice addresses
- CAQH ProView setup, document uploads, payer authorizations and re-attestation every 120 days
- Tracking of state licenses, collaborative or supervisory agreements and DEA registrations
- Commercial and behavioral health network applications
- Medicare enrollment in PECOS, including reassignment to your group
- State Medicaid enrollment and Medicaid managed care plan credentialing
- Follow-up with each payer and a written status update every week
- Effective dates and provider IDs confirmed before you bill
- Re-credentialing, revalidation and expiration tracking
Multi-state practices
Credentialing a telehealth PMHNP practice in 23 states
One Georgia-based PMHNP practice with up to 5 providers sees patients in 23 states. We have handled its credentialing and billing for 3 years.
We have completed 100+ payer enrollments for this practice. Each new state follows the same plan: confirm the license and prescribing rules, add the DEA registration if needed, update CAQH, then apply to the payers that cover most of the practice’s patients in that state.
Timelines
How long PMHNP credentialing usually takes
Plan for a few months per commercial payer. The exact time depends on the payer, the state and how complete the application is.
As a general range, commercial credentialing commonly takes about 60 to 120 days, and some behavioral health networks take longer. Medicare is often faster when the application is complete. Medicaid depends on the state and on each managed care plan.
A new state license or DEA registration has to be in place before most payers will process your application, so we map those steps first. We cannot speed up a payer, but we can make sure your application is complete and followed up every week.
State practice and prescribing rules change. We check current state and payer requirements before each application.
Pricing
PMHNP credentialing from $80 per payer
Pay per payer, choose a package, or use a monthly plan for multi-state growth. Sign up for billing and we credential 5 commercial payers free. Medicare and Medicaid are not part of the free 5.
Common questions
What taxonomy code does a PMHNP use?
PMHNPs use taxonomy code 363LP0808X, Nurse Practitioner, Psychiatric/Mental Health. It should match across NPPES, CAQH and every payer application, or payers may list you under the wrong specialty.
Can a PMHNP be credentialed in multiple states?
Yes. You need a license in each state, plus a DEA registration in each state where you prescribe controlled substances, and then enrollment with payers in each state. We have completed 100+ enrollments across 23 states for one PMHNP practice.
Do I need a collaborating physician to get credentialed?
It depends on the state. Some states give NPs full practice authority. Others require a collaborative or supervisory agreement, and payers may ask for it during credentialing. We check the rules for each state you apply in.
Can PMHNPs enroll in Medicare?
Yes. Nurse practitioners enroll in Medicare through PECOS as individual practitioners and can reassign benefits to a group. Medicare generally pays NPs a percentage of the physician fee schedule.
How long does PMHNP credentialing take?
As a general range, commercial payers commonly take about 60 to 120 days from a complete application, and some take longer. Medicare is often faster. Medicaid varies by state. You get a status update from us every week.
How much does PMHNP credentialing cost?
Credentialing starts at $80 per payer, with packages and monthly plans available. With our billing service, 5 commercial payers are credentialed free.
Guides from our team
Learn more before you decide
90791 vs 90792: Which Psychiatric Diagnostic Evaluation Code to Bill
The difference between 90791 and 90792, who can bill each, what the note must include, codes that cannot be billed the same day, and common intake denials.
Read the guide →How to Bill 99214 With 90833: E/M Plus Psychotherapy for Psychiatry and PMHNP Visits
When a prescriber can bill an E/M code with a psychotherapy add-on (90833, 90836, 90838), how to pick each code, what to document, and why these claims get denied.
Read the guide →PMHNP Credentialing: A Complete Guide for Psychiatric Mental Health Nurse Practitioners
PMHNP credentialing explained: behavioral health carve-outs, panel saturation, DEA and controlled substances, multi-state telehealth, and realistic payer timelines.
Read the guide →Find out what your claims are leaving on the table
Tell us about your practice. We will review 90 days of claims and show you what is recoverable, at no cost.
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