Credentialing Documents Needed

License (Arkansas & Oklahoma)

DEA License (if applicable)

Current Liability Insurance

W-9

CV (Resume with employment history and dates)

Board Certifications

Hospital Privileges

Federal Tax ID (IRS Letter)

Articles of Organization

Current BLS

Continuing Education Units

Collaborating Agreement (APRN'S)

NPI (individual and group)

Voided check for business

CAQH Number

Medicare & Medicaid #'s (Arkansas & Oklahoma)

Letterhead stating Promises Credentialing has permission to manage your credentialing