Can a nurse practitioner perform the initial hospital visit?

Yes, nurse practitioners can perform the initial hospital visit after enrolling for, and receiving, their own Medicare numbers. They must apply for a National Provider Identifier (NPI) and go through the Medicare credentialing process with Palmetto GBA, so they can order diagnostic tests. They can act as the assistant at surgery using HCPCS modifier AS, but they are excluded from billing as the surgeon on any major surgical procedure. They are excluded from some other specialty services, such as anesthesia.

Contact Palmetto GBA JM Part B Medicare

Email Part B

Contact a specific JM Part B department

Provider Contact Center: 855-696-0705

TDD: 866-830-3188

Other Palmetto GBA Sites

Palmetto GBA Home

DMEPOS Competitive Bidding Program

Jurisdiction J Part A MAC

Jurisdiction J Part B MAC

Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC


National Supplier Clearinghouse MAC


RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries



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