Nurse Practitioner Medical Billing & Credentialing Services

End-to-End Billing and Credentialing Support Tailored to Nurse Practitioners

Nurse Practitioners (NPs) are at the forefront of modern healthcare — delivering primary care, behavioral health, women’s health, urgent care, and more. But despite their expanding role, NPs face major billing and credentialing challenges that limit reimbursements and slow practice growth. Whether you’re an independent NP starting a private practice or working under physician supervision, Oakview Medical Billing Solutions offers expert billing, fast credentialing, and total RCM support to help you thrive.

Unique Billing Challenges Nurse Practitioners Face

Unlike MDs and DOs, nurse practitioners must navigate:

• Reduced reimbursement rates (typically 85% of physician fees) unless billing under supervision

• “Incident-to” billing rules that differ by payer and practice structure

• Credentialing barriers with commercial insurers that delay revenue flow

• Confusion around taxonomy codes, scope of practice, and state-level NP rules

• Split/shared visit rules when working with supervising physicians

• Higher denial rates for incorrect NPI usage or missing supervisory attestations

Oakview’s team understands these issues deeply and offers custom solutions whether you bill independently or through a supervising provider.

Our Nurse Practitioner Billing Services Include

• Accurate CPT and HCPCS coding

• Modifier usage (e.g., -SA for NP services)

• “Incident-to” and shared visit billing setup

• E/M coding compliance based on time or MDM

• Real-time eligibility & benefit verification

• Timely claim submission, payment posting, and denial management

• Monthly reporting on reimbursement trends and patient balances

We work across all specialties — from family practice NPs to psychiatric-mental health NPs (PMHNPs) — tailoring billing workflows based on your scope of services.

Credentialing Services for Nurse Practitioners

Credentialing is often the most delayed and confusing part of starting or growing a nurse practitioner practice. We take care of everything:

• NPI registration & taxonomy selection

• CAQH profile creation & maintenance

• Commercial insurance enrollment (Aetna, Cigna, UHC, BCBS, etc.)

• Medicare and Medicaid credentialing (including MCOs)

• Revalidations, updates, and payer communications

• EHR and telehealth platform credentialing

We also help navigate state-specific NP credentialing rules, especially for independent practices in full-practice authority states (e.g., WA, CO, AZ, OR, NV, and more).

Common CPT Codes Nurse Practitioners Bill

Write your text here...Who We Serve

Oakview works with all types of NPs, including:

• Family Nurse Practitioners (FNPs)

• Adult-Gerontology Nurse Practitioners (AGNPs)

• Psychiatric-Mental Health Nurse Practitioners (PMHNPs)

• Women’s Health Nurse Practitioners (WHNPs)

• Pediatric Nurse Practitioners (PNPs)

• Emergency Nurse Practitioners (ENPs)

• Dermatology, Cardiology, and Orthopedic NPs

• NP-led clinics and mobile care providers

Why Nurse Practitioners Choose Oakview

• 100% credentialing submission rate — no lost applications

• Fast-track payer enrollment and EHR integration

• Full transparency on status, timeline, and claim performance

• HIPAA-compliant billing system & expert coders

• Dedicated account manager for every NP practice

• No volume minimums — perfect for small or solo clinics

• Support for telehealth-only providers & mobile care

Ready to Take Control of Your Practice?

Whether you're just starting out or scaling a thriving NP-led clinic, Oakview’s end-to-end solutions are built to make your life easier, your collections stronger, and your patients happier.

📞 Book your free consultation today — and let us handle the credentialing, coding, and collections so you can focus on care.