Primary Care / Family Medicine
Track medical licenses, board certifications, DEA registrations, and payer enrollments for your physicians, NPs, and PAs. Credentialing Now handles the complexity of primary care credentialing so you don't have to.
Primary care practices juggle physician licensing, board certification, DEA renewals, mid-level credentialing, and enrollment with dozens of payers. We built our platform to handle these specifics.
Track state medical licenses for every physician in your practice across multiple jurisdictions. Monitor renewal deadlines, CE requirements, and license status changes in one place.
Monitor American Board of Family Medicine and American Board of Internal Medicine certification status, MOC requirements, and recertification timelines for your primary care physicians.
Track DEA registrations and state controlled substance licenses for every prescribing provider. Get alerts before expirations that could halt prescribing authority.
Credential nurse practitioners and physician assistants alongside your physicians. Track AANP/ANCC or NCCPA certifications, state APRN/PA licenses, and prescriptive authority in one system.
Track CAQH ProView attestation cycles for every provider so commercial payers always pull from current data. Get reminders before re-attestation deadlines come due.
Enroll providers across commercial payers, Medicare, and Medicaid simultaneously. Track application status, effective dates, and revalidation deadlines for every payer relationship.
Set up profiles for your physicians, NPs, and PAs. Upload medical licenses, board certificates, DEA registrations, and existing credentialing documentation. We'll help with the initial setup.
Credentialing Now monitors license renewals, board recertification deadlines, DEA expirations, CAQH attestation windows, and payer revalidation cycles. Get alerts before anything is due.
With credentialing running smoothly in the background, your practice stays compliant, your revenue cycle stays uninterrupted, and your providers can focus on delivering primary care.
A primary care physician's credentialing file touches more payers than almost any other specialty. These are the pieces a practice manager has to assemble and keep current for every provider.
Every physician needs an active MD or DO license in each state where they practice. State medical boards set their own renewal cycles and CME requirements, and payers verify license status at initial credentialing and again at re-credentialing, typically every two to three years.
Family physicians certify through the American Board of Family Medicine and internists through the American Board of Internal Medicine. Both boards now run continuous certification models with ongoing assessment and improvement requirements, and many commercial plans and Medicare Advantage panels require active certification for participation.
Any provider who prescribes controlled substances needs a DEA registration, renewed every three years, plus a separate state controlled substance license in some states. A lapsed DEA halts prescribing immediately, so it belongs on the same expiration calendar as licenses and board certifications.
Nearly all commercial payers pull provider data from CAQH ProView. The profile must be complete, have current documents attached, and be re-attested every 120 days, or payers see stale data and enrollment applications stall while your provider waits to see patients in-network.
Physicians enroll in Medicare through PECOS and must revalidate every five years. Practices billing under a group also need the organization's Type 2 NPI linked correctly to each provider's individual Type 1 NPI, along with reassignment of benefits, before claims pay properly.
Nurse practitioners and physician assistants are credentialed as individual providers with their own NPIs, CAQH profiles, and payer enrollments. Collaborative practice and supervision requirements vary by state, and some payers ask for those agreements as part of the enrollment application.
Commercial payer enrollment generally takes 60 to 150 days per payer from a complete application, and Medicare and Medicaid run on their own timelines. Because panels process in parallel, the practical rule is to start applications 90 to 120 days before the physician's start date and keep the CAQH profile attested so payers are not waiting on data.
Every 120 days. If a provider misses re-attestation, payers pulling from CAQH see the profile as stale, which can hold up new enrollments and re-credentialing. Credentialing Now sends automated CAQH attestation reminders so providers re-attest before the window closes.
Yes. Each NP and PA enrolls with payers as an individual provider with their own Type 1 NPI, CAQH profile, state license, and national certification, meaning AANP or ANCC for NPs and NCCPA for PAs. States differ on collaborative practice and supervision requirements, and some payers request those agreements as part of enrollment.
Medicare requires revalidation every five years, and missing the deadline can lead to a hold on payments or deactivation of billing privileges, which then requires re-enrollment. Track each provider's revalidation due date and start the PECOS submission well before it, since supporting documents like licenses and malpractice certificates need to be current at submission.
See how Credentialing Now handles license tracking, board certification, DEA renewals, and multi-payer enrollment for primary care practices.
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