Insurance Credentialing 101

Step 1- Apply for an individual (type 1) NPI

A National Provider Identifier (NPI) is like a professional social security number. You need an Identity & Access Management System (I&A) User ID and Password to create and manage NPIs. Use the button below to create your I&A User ID. If you already have a NPI, please move to Step 2!


Step 2- Apply for CAQH Number

The Council for Affordable Quality Healthcare (CAQH) was created to “streamline” the insurance credentialing process by operating as a database for insurance companies to “pull” credentialing information from when someone is applying to be a network provider. This application can take several hours to complete and will need to be in “approved” status to move forward with credentialing. You will need the following practice information when adding our group practice to your CAQH profile under Practice Information:

Peak Professional Group, PLLC

Tax ID- 47-3371314

Address: 800 W. Williams Street, Ste 280 Apex, NC 27502

Address: 2515 Watson Avenue, Ste 111 Sanford, NC 27332

Fax No. 919-355-5694

Phone No. 919-800-8114

Credentialing Contact: Samantha Mahon

Credentialing Email- sam@mypeakpractice.com

Credentialing Phone No. & Fax No. 919-412-5685 / 919-355-5694

To apply for your CAQH number, use the button below

Already have a CAQH Number?

If you already have a CAQH number, you will need to log in and add our practice information to your profile as an additional location (primary location or additional location if working at another practice. You must show availability for at least 15 hours per week for our location.

Peak Professional Group, PLLC

Tax ID- 47-3371314

Address: 800 W. Williams Street, Ste 280 Apex, NC 27502

Address: 2515 Watson Avenue, Ste 111 Sanford, NC 27332

Fax No. 919-355-5694

Phone No. 919-800-8114

Credentialing Contact: Samantha Mahon

Credentialing Email- sam@mypeakpractice.com

Credentialing Phone No. & Fax No. 919-412-5685 / 919-355-5694

Step 3- Complete our Credentialing Sheet

Our credentialing sheet collects the data necessary to apply for insurances on your behalf. You will need a copy of your highest degree, liability insurance declaration page(s) & a copy of your professional license (supervision contract needed for those who are not fully licensed).

*Please note that this is a template- in order to use it, please make a copy of the template before editing the sheet. Once the Google Sheet has been completed, please let Sam know via email!