Provider types
Clinical Nurse Specialist Credentialing Services
Clinical nurse specialists enroll in Medicare on the CMS-855I. For Texas Medicaid, a CNS must be licensed as a registered nurse and as an APRN by the Texas Board of Nursing, and must be enrolled in Medicare or obtain a pediatric practice exemption.
Medicare
Clinical nurse specialists are listed among the individual practitioners who enroll on the CMS-855I.
Texas Medicaid
The Texas Board of Nursing licenses APRNs, including clinical nurse specialists. Texas Medicaid requires that license plus Medicare enrollment or a pediatric practice exemption.
Enrollment in Texas Medicaid comes before any Medicaid managed care plan can enroll you; each plan then contracts and credentials separately.
Sources
- CMS Medicare Provider Enrollment (MLN9658742)
- TMHP Texas Medicaid Provider Procedures Manual
- Texas Board of Nursing
Payers and agencies set their own review pace, so we do not promise outcomes or dates. What we control is a complete, accurate file and steady follow-up.
Talk it through with a specialist.
Ask about your payers, your providers and your scope.