Provider types
Certified Nurse-Midwife Credentialing Services
Certified nurse-midwives enroll in Medicare on the CMS-855I. For Texas Medicaid, a CNM must be licensed as a registered nurse and APRN by the Texas Board of Nursing, and the enrollment application includes a Physician's Letter of Agreement.

Medicare
Certified nurse-midwives are listed among the individual practitioners who enroll on the CMS-855I.
Texas Medicaid
A CNM must be licensed as a registered nurse and as an advanced practice registered nurse by the Texas Board of Nursing, and be authorized to practice as a nurse-midwife.
The Medicaid enrollment application must include the Physician's Letter of Agreement affirming the CNM's supervising physician arrangement.
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.