Posted in Training, Updates

Humana: change to Nurse Practitioner and PA credentialing requirements.

This post applies to any NP or PA that are seeing Humana patients in the office.


The change is affective as of DOS 08/01/2021 and thereafter and applies to NP and PA no matter if they are part of a physician group and not solely acting as a primary care provider.

Effective 08/01/2021, nurse practitioners and and physician assistants are required to get credentialed with Humana, in order to see Humana members in network.


What you need to do?

Please visit Humana website for helpful guidelines or review Human credentialing policy: Humana.com/provider/medical-resources/join-humana-network/credentialing-facilities-and-organizations

If you need any help with the process or have any questions, please contact the us via email or phone:

Email: credentialinginquiries@humana.com – please include your full name, specialty, tax payer identification number (TIN)

Phone: 800-457-4708


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My name is Kate Patskovska, CPB. I am an Independent Medical Biller CPB (AAPC) and an owner of KR2 Medical Billing. KR2 Medical Billing is a full service Consulting/Medical Billing Business that is dedicated to educating, consulting, and overall improving the "financial health" of your medical practice.

2 thoughts on “Humana: change to Nurse Practitioner and PA credentialing requirements.

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