Pediatrics
Track ABP board certifications, multi-state licenses, DEA renewals, and Medicaid/CHIP provider enrollment for your pediatricians and pediatric NPs. Credentialing Now replaces spreadsheets with a system designed for pediatric practices.
Pediatric credentialing involves ABP board certification, government program enrollment, and payer panels with pediatric-specific requirements. We built our platform to handle these specifics.
Monitor American Board of Pediatrics general and subspecialty certification status, track MOC Part 2 and Part 4 activity requirements, and get alerts before recertification deadlines.
Track board certifications for pediatric cardiology, neonatology, developmental-behavioral pediatrics, and other subspecialties alongside general pediatric credentials in one place.
Monitor DEA registration expirations, state controlled substance permits, and medical license renewals across every jurisdiction where your pediatric providers practice.
Navigate state Medicaid and CHIP enrollment for your pediatric providers. Track application status, effective dates, and revalidation timelines across every state where your practice operates.
Credential Pediatric Nurse Practitioners alongside your physicians. Track PNCB or ANCC PNP certifications, state APRN licenses, and prescriptive authority renewals from one dashboard.
Upload program agreements, site-specific records, and other compliance documentation to each provider's file. Build custom checklists with reminders so onboarding and recurring renewals stay on track.
Set up profiles for your pediatricians and pediatric NPs, upload their ABP certificates, state licenses, DEA registrations, and existing credentialing documentation. We'll help with the initial setup.
Credentialing Now monitors ABP recertification deadlines, state license expirations, DEA renewals, Medicaid/CHIP revalidation, and payer enrollment timelines. Get alerts before anything is due.
With credentialing running smoothly in the background, your practice stays compliant, your Medicaid and commercial billing stays uninterrupted, and your team can focus on caring for your young patients.
Pediatric credentialing has a different center of gravity than adult primary care: Medicaid and CHIP enrollment, vaccine program participation, and newborn coverage all sit alongside the usual licensure and board work.
Every pediatrician needs an active state medical license with its own renewal cycle and CME requirements. Practices near state lines, or offering telehealth follow-ups, often maintain licenses in more than one state, and each license is verified separately at credentialing and re-credentialing.
The American Board of Pediatrics requires ongoing Maintenance of Certification, including self-assessment and quality improvement activities, to keep certification active. Payers and hospitals verify ABP status at credentialing and re-credentialing, so a lapsed MOC cycle becomes a payer problem, not just a board problem.
Medicaid covers a large share of pediatric patients, so state Medicaid and CHIP enrollment is central to a pediatric practice's revenue rather than an afterthought. Each state runs its own application, screening, and revalidation process, and managed Medicaid plans layer their own credentialing on top of the state enrollment.
Practices that immunize Medicaid-eligible, uninsured, or underinsured children enroll in the federally funded VFC program through their state. VFC has its own provider agreements, annual re-enrollment, and vaccine storage-and-handling requirements that sit outside normal payer credentialing but still have to be tracked.
Pediatricians who attend deliveries or round on newborns need active privileges at each hospital, with the medical staff office running its own application and reappointment cycle, typically every two years. Privileges also come up in payer applications that ask about admitting arrangements.
Pediatric nurse practitioners are credentialed individually with their own NPIs, CAQH profiles, and payer enrollments, alongside PNCB or ANCC certification and state APRN licensure. State rules on collaborative practice and prescriptive authority vary and can affect what documentation payers require.
Medicaid and CHIP cover a large share of children in the US, so for most pediatric practices Medicaid is a primary payer, not a secondary one. An unenrolled or lapsed provider means unbillable visits from day one. Each state has its own enrollment and revalidation process, and managed Medicaid plans usually require separate credentialing on top of the state enrollment.
VFC is a federally funded program that supplies vaccines at no cost for Medicaid-eligible, uninsured, underinsured, and American Indian or Alaska Native children. If your practice immunizes those patients, you enroll through your state VFC program, sign provider agreements, and complete annual re-enrollment. Those requirements run on their own calendar, separate from payer credentialing.
Commercial payer enrollment typically runs 60 to 150 days per payer from a complete application, and state Medicaid timelines vary widely. Hospital privileges for newborn care follow the medical staff office's own schedule. Starting all applications 90 to 120 days before the start date, with CAQH attested and documents current, is the realistic way to avoid unbillable weeks.
No. Credentialing Now tracks the work rather than filing it: it stores each provider's documents, watches expiration and revalidation dates with automated email alerts, tracks payer enrollments with follow-up notes and due dates, and runs monthly OIG and SAM.gov exclusion checks. Your team still submits applications to the state, VFC, and payers.
See how Credentialing Now handles ABP certification tracking, Medicaid/CHIP enrollment, and payer panels for pediatric practices.
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