January 19, 2007
New 1500 form
- Item 17a — Use NPI or UPIN number until NPI is required (shaded box).
- Item 17b — NPI number goes here.
- 24J — Rendering provider’s ID should go in the shaded box.
- 24J — NPI goes in the UNshaded box.
- 25 — Be sure to check the SSN or EIN box.
- 32a — Insert NPI number for location (facility).
- 32b — Legacy number for location (facility) goes here.
- 33a — Insert NPI number.
- 33b — Insert Legacy number.
See www.nucc.org for complete instructions and a manual.
