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Provider credentialing

Physician Assistant Credentialing

Physician assistants can now enroll with Medicare and be paid directly, and most commercial payers credential PAs individually. State supervision requirements and NCCPA certification are the documents that most often hold things up, so we handle them first.

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  • Direct Medicare payment since 2022
  • Supervision agreement where the state requires
  • NCCPA certification current
  • Taxonomy aligned to practice specialty
  • Supervisor changes reported promptly
7-14 daysto onboard your practice end to end
Weeklystatus report on every open application
50 statesMedicare, Medicaid and commercial panels

Since 2022, Medicare pays PAs directly rather than only through an employer, which makes individual PA enrollment straightforward. Commercial payers credential PAs in nearly every specialty, from primary care to orthopedics and dermatology. What remains state-specific is the supervision or collaboration arrangement, which must be documented and current, and is often requested by payers.

ClainetRCM credentials PAs with every payer, keeps the supervision documentation current as supervising physicians change, and aligns the PA's taxonomy with the specialty of the practice so specialty-specific claims process correctly.

Where this usually goes wrong

Supervising physician changed

When the supervising physician leaves, the PA's supervision agreement is void in many states. Payers and the state board must be updated, or claims and licensure are at risk.

Enrollment under the wrong taxonomy

PAs practicing in a surgical specialty still carry the general PA taxonomy unless updated. Some payers use taxonomy to determine allowed codes.

Billing only under the physician

Practices that never credentialed their PAs cannot bill the PA's services under the PA and may be billing improperly under the physician. Direct credentialing resolves both.

What ClainetRCM handles for you

One coordinator owns every file from intake to effective date.

  • State PA license, NCCPA certification and supervision or collaboration agreement verification
  • Medicare enrollment as a PA with direct payment or reassignment to the group
  • State Medicaid and managed care enrollment
  • CAQH profile and commercial payer applications in the practice specialty
  • Supervising physician change notifications to payers and the state board
  • Certification renewal tracking on the NCCPA 10-year cycle with annual maintenance
PA credentialing by setting

Primary care and urgent care

Direct credentialing with all payers; high visit volume makes payable status urgent. See urgent care credentialing.

Surgical specialties

Assistant-at-surgery billing requires the PA to be enrolled; hospitals require PA privileges. See hospital privileging.

Dermatology and other procedural specialties

Taxonomy and payer specialty designation matter for procedure code coverage.

How the work runs

  1. 1

    Intake and gap review

    Licenses, DEA, board certificates, malpractice, work history and NPI details are collected and compared against what each target payer asks for.

  2. 2

    Profile setup

    CAQH ProView, PECOS and payer portals are created or cleaned up, attested and linked to the correct Tax ID and locations.

  3. 3

    Application submission

    Every enrollment is filed in dependency order, with a tracking record for each payer, date and reference number.

  4. 4

    Follow-up on a fixed cadence

    Payers are contacted on a schedule. Requests for more information are answered the same business day.

  5. 5

    Approval, contract and handoff

    Effective dates, provider IDs and fee schedules are logged and loaded into your billing system.

Frequently asked questions

Yes. Medicare has paid PAs directly since 2022. PAs enroll through PECOS with a CMS-855I and can reassign benefits to a group with an 855R like any other practitioner.

Many do, in states that require one for practice. The agreement must name a currently enrolled supervising physician. We review and update it when supervisors change.

The same range as other practitioners: Medicare in 30 to 60 days, commercial payers in 90 to 150 days. A complete file with a current supervision agreement avoids the most common delays.

Under the PA's own NPI whenever the PA is the rendering provider. Medicare's incident-to and split or shared visit rules allow physician billing only in defined circumstances, and commercial payers often do not allow it at all.

Free revenue audit

Find out what your practice is losing to denials.

Send us 90 days of remittance data and we will show you, line by line, which claims were underpaid, denied, or never worked, and what it would take to recover them. No cost, no obligation, and you keep the report either way.

Request your free audit+1 (339) 337-9616

No setup fee. No long-term contract. Pricing from 2.29% of monthly collections.