Why does Provider type code matter for doulas?

A provider type mismatch can create enrollment, contracting, or claim-routing problems even when the NPI itself is valid.

Glossary

Provider type code

Some NPI and payer enrollment records use provider type code 374J00000X for doulas. Check the state Medicaid program or health plan before enrollment.

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Why it matters

A provider type mismatch can create enrollmentProvider enrollmentProvider enrollment is the process of being approved by Medicaid or a Medicaid plan before billing. It can include IDs, attestations, portal setup, and state-specific documents., contracting, or claim-routing problems even when the NPI itself is valid.

Plain-language taxonomy answer NPI and provider setup guide Provider enrollment NPI basics