AMA License
Warning: You are using IE 7 or below. You may also be using compatibility mode. Our site was not designed to run in IE 7 or below but you can still continue to use it. To disable compatibility mode - View our Instructions.
  • Event Portal
  • Listservs
  • Contact Us
palmetto gba palmetto gba
  • National Supplier Clearinghouse Hub
  • Topics
    • Articles
    • Learning & Education
    • Resources
    • Supplier Enrollment

    • View All Topics
  • Forms / Tools
    • DMEPOS Enrollment Status LetterrlaunchDMEPOS Supplier Enrollment StandardsrlaunchDownload a CMS-855S Enrollment ApplicationrlaunchForms and Participation AgreementsrlaunchFrequently Asked QuestionsrlaunchHearings and Appeals InformationLatest News and UpdatesLicensure DatabaseMedicare Enrollment FeesrlaunchMedicare Provider & Supplier DirectoryrlaunchNew Supplier DMEPOS Enrollment DocumentNSC Application Status ToolrlaunchNSC ListservrlaunchNSC Referral Form to Report Possible Supplier Standards ViolationsNSC Web Form SubmissionrlaunchPharmacy Attestation Informationrlaunch
  • Education / Events
    • Learning & Education
  • search Search close Close
You are searching through our National Supplier Clearinghouse search collection

Quick Search

Please Note: There is no Medicare information on our corporate website. Please select a specific contract in the 'Search Within' box for Medicare related information.

  1. palmettogba.com
  2. National Supplier Clearinghouse
  3. Supplier Enrollment
  4. Forms
plogo

© 2021 Palmetto GBA, LLC

We frequently update our articles to reflect the latest changes and updates to Medicare, and strongly recommend you visit this article at link below to confirm you have the latest version.

Published Date:09/19/2016

Printed Date: 9/22/2015

URL: http://palmgba.com/marlowe/redesign6/article.html

NSC Licensure Documentation Web Form

share share share

Need to submit a license but you don't want to submit a CMS-855S enrollment application? To better serve you, the NSC has created an online tool for you to submit licensure documentation to the NSC! The NSC has created an enhancement for the NSC website to upload license(s) electronically without submitting a CMS-855S enrollment application. You may use our new online tool to submit current licensure documentation to the NSC in PDF format. By simply entering your identifying information in the designated fields, you may attach your licensure documentation and simply click "submit". A change of information is not required!

Simply, go to the NSC website (www.palmettogba.com/nsc), go to "Forms/Tools", then click NSC Licensure Documentation Web Form.

Jump to:

help Was this article helpful?

We value your opinion and want to provide the highest-quality and most relevant Medicare knowledge possible. Please let us know if this article was helpful.

That's great!

We’re glad we could help you today and appreciate your feedback. When you rate our articles as most helpful, we know that we are on the right track for providing you with important news and information.

They can't all be winners right?

We're sorry this article didn't help you today. We'll use your feedback to review this article to try to revise or expand it. Contact us with more feedback or a question on this topic.

  • Try these similar articles:
  • Our Search Engine has found:

Last Updated: 09/19/2016

share share share

Contact NSC

Email National Supplier Clearinghouse

Contact a specific NSC department

Telephone: 866-238-9652

IVR: 866-238-9652

Address:

National Supplier Clearinghouse

Palmetto GBA, AG-495

P.O. Box 100142

Columbia, SC 29202-3142

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

MolDX

National Supplier Clearinghouse MAC

PDAC

RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries

Anonymous

 


Contact Us

(X)

© 2021 Palmetto GBA, LLC.

Get Adobe Reader

Get ByteScout Free Microsoft Excel Viewer

Privacy Policy

Site Help

Site Map

Site Help

Minimum Requirements

Legal Disclaimer

cms

 


Page Not Found. Our New Website: https://www.palmettogba.com

We've recently uppgraded our website and it looks you're trying to access an old link. Please select an option below.

Attempt to load this page on new site

Go to Home page

Go to Contact Us page

This link may not exist on our new site. Please review the information below from our old site. It was current up until 09/19/2016. Please note: It is possible we have removed this information, so please review the new website by clicking on the link above.

View a related article: