Check active provider enrollments before submitting new enrollments!
To reduce processing time, please verify your provider is not actively enrolled with North Dakota Medicaid before submitting a new online enrollment application in the MMIS portal. If a provider is actively enrolled, a new online application is not required.
You can search for actively enrolled providers by NPI or Name using the following links:
To reduce processing time, please verify your provider is not actively enrolled with North Dakota Medicaid before submitting a new online enrollment application in the MMIS portal. If a provider is actively enrolled, a new online application is not required.
You can search for actively enrolled providers by NPI or Name using the following links:
- To add an affiliation, submit the Affiliation Form (SFN 1330)
- To add a Taxonomy, submit the Add Taxonomy Form (SFN 1302)
- If the provider is inactive, submit a Reactivation Form Packet
When a provider is actively enrolled with North Dakota Medicaid:
Date of Update
Update Category
Provider Type
Provider Year
2024