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Provider Enrollment
Provider Enrollment
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Enrollment Status
Friday 03/28/2025 01:02 PM PST
Provider Enrollment - Status
Enter your assigned Tracking number and Federal Tax Identification Number (TIN or EIN) or SSN that was used on the provider application to verify the current status. Refer to the
OPE User Guide Chapter 1: Getting Started
for more information about application status. For any further inquiries, please contact the Provider Center at (877) 638-3472 from 8 a.m. to 5 p.m. PT Monday through Friday.
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Indicates a required field.
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Tracking Number
Tracking Number is a required field.
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Employer Identification Number (EIN) or Social Security Number (SSN)
Employer Identification Number (EIN) or Social Security Number (SSN) is a required field.
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Password
Password is a required field.
Your password must be 8 to 20 characters in length and cannot contain your name or last name. It should not be the same as your user id and it must contain at least 1 character from three of the following categories: numeric digit, uppercase letter, lowercase letter, and non-alphanumeric characters.
R4.2
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