Jimmie Hebert
CMC, CMIS, CMOM

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September 8, 2010

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Nurse Practitioner Qualifications

Requirements are revised to make them less restrictive for experienced nurse practitioners and more restrictive for new nurse practitioners in future years.

For Medicare Part B to cover a nurse practitioner they must:

• Be a registered nurse authorized by the State and practicing in accordance with State law. -AND-
  • Be certified by a recognized national certifying body.
    -OR-
  • Be a registered nurse authorized by the State and practicing in accordance with State law and have a Medicare billing number by December 31, 2000.
    -OR-
  • Be a nurse practitioner who applies for a Medicare billing number on or after January 1, 2001 for the first time and is State authorized and nationally certified.
    -OR-
  • Be a nurse practitioner who applies on or after January 1, 2003 for the first time and has a Master’s Degree, is State authorized and nationally certified.

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