Serving Providers Nationwide Contact
National Provider Registry Logo National Provider Registry

Empowering Providers Through Accurate Data and Informed Contracting

Connecting providers with opportunity, accuracy, and confidence across Medicare and commercial networks.

About Us

National Provider Registry (NPR) is a data-driven organization dedicated to accurate, accessible provider information across payers, directories, and public systems. We streamline data integrity, credentialing, and network transparency—helping practices stay compliant, visible, and connected. Our team maintains clean, verified records across NPPES, PECOS, Medicare, and commercial platforms to reduce administrative friction and improve patient access.

What we maintain

  • Verified business & clinic addresses, phone, and fax
  • Accurate clinic locations and office hours
  • Active provider affiliations and group linkages (NPI-based)
  • Contractual relationships (Medicare, MA, and commercial)
  • Administrative and billing contact information

Why we do it

Accurate provider data powers better healthcare. It improves patient access, strengthens network integrity, and ensures providers are properly represented for the care they deliver. Reliable reference data helps payers and ACOs make informed contracting and performance decisions—and it helps patients find the right care, when and where they need it most.

Fast Facts

Services

We help providers maintain clean practice data and surface actionable insights for participation across Medicare and commercial networks.

Registry Maintenance & Verification

Ongoing updates to addresses, affiliations, locations, office hours, and operations contacts to keep registry data current (NPPES, PECOS).

Contract Review

We leverage Medicare expertise to negotiate in your geography, balancing reimbursement with RVUs worked and admin burden.

Credentialing Support

We coordinate with office managers and billers semiannually/annually to ensure payer and regulatory compliance.

Practice Performance Benchmarking

County, state, and national benchmarks on collection rates, fee schedules, and underpayment detection via proprietary datasets and RESDAC access.

Referral Service

Signal service availability and locations; illuminate referral patterns to support access and coordination.

Risk Score Documentation & Management

Support compliant documentation to optimize revenue in Medicare Advantage (HMO) and ACO risk arrangements.

Quality Metric Review

We don’t submit QPP; we provide claims-based performance data for relevant prior-year metrics at the TIN level.

Provider Education & Opportunity

Free webinars on risk score optimization, Star ratings, and profitability in the Medicare HMO space.

Membership

There is no fee or long-term contract required to update your information in the registry or receive credentialing support. We collaborate with your practice to update NPPES, PECOS, and Healthgrades profiles—at no cost to you.

If we successfully help increase your referrals or improve your payer contracts, our performance-based fee ranges from $0.50 to $1.50 per paid claim. Simply put, we win only when you win—and winning means improved profitability, not just higher volume.

Contact Us

Our team supports providers nationwide. Please contact us for questions about membership, credentialing assistance, or to verify your listing.