New-Provider Credentialing Checklist: NPI, PECOS/855, CAQH and Payer Enrollment

WHAT YOU GET

A step-by-step credentialing checklist for onboarding a new provider, plus an editable tracker for every payer.

FILES

- 05-New-Provider-Credentialing-Checklist.pdf: full-color guide, 6 pages, US Letter

- 05-New-Provider-Credentialing-Checklist-PrintFriendly.pdf: the same 6 pages in low-ink black and white

- editable/Credentialing-Checklists.docx: Word template

- editable/Credentialing-Tracker.docx: Word template

- README.txt: quick start and license

PAGE COUNT

6 pages (guide, US Letter), plus 2 editable Word templates

FORMAT

US Letter (8.5 x 11 in). PDF (full color and print-friendly black and white) and editable Microsoft Word .docx (also opens in Google Docs and LibreOffice). Delivered as one .zip file.

Instant digital download: your download link appears right after checkout and is emailed to you. No physical item is shipped.

HOW TO EDIT THE WORD FILES

1. Download and unzip the file on a computer.

2. Open any .docx file in Microsoft Word, Google Docs (File > Open > Upload) or free LibreOffice.

3. Optional: click the small header line at the top of the page and type your practice name, or leave it as-is. The templates look finished either way.

4. Type into the tables or edit any wording for your office, then save and print at 100% (actual size).

WHAT'S INSIDE

- Documents to collect the day the offer is signed

- Medicare enrollment step by step: PECOS, CMS-855I, reassignment, effective-date and 30-day retroactive billing rules

- What to report after enrollment, and when

- CAQH (now DataSpring) upkeep

- Medicaid and commercial plan enrollment

- An editable credentialing tracker for every payer (Word)

LICENSE

Print and copy these files for use inside your own practice (one practice). Please do not resell or redistribute them.

PLEASE NOTE

Educational use only. Not legal, billing, coding or medical advice. Rules change and vary by Medicare Administrative Contractor (MAC), state and payer, so confirm with the official sources listed in the file. All examples are fictional. Not affiliated with or endorsed by CMS, HHS, X12 or any payer. CPT(R) is a registered trademark of the American Medical Association; code descriptions are short paraphrases.

AI DISCLOSURE: I wrote this with the help of AI tools and checked it against the official sources listed in the file.

(c) 2026 Clinic Revenue Guidess