Eligible Nonphysicians

Nonphysician Practitioners who can enroll in Medicare.

Below you can find the definition, qualifications and supporting documentation for each specialty. Visit Obtain/Verify State License for assistance with license verification.

Anesthesiology Assistants (CAA)
- 42 CFR Section 410.69(b)
- Master/Doctoral Degree
Audiologists (AUD)
- 42 CFR Section 440.110(c)(3)
- Master/Doctoral Degree
Certified Nurse Midwife (CNM)
- 42 CFR Section 410.77
- Current Certification
Certified Registered Nurse Anesthetists (CRNA)
- 42 CFR Section 410.69(b)(1) through (4)
- Graduated from a Nurse Anesthesia Educational Program or Masters/Doctoral Degree
- Current Certification
Clinical Nurse Specialist (CNS)
- 42 CFR Section 410.76
- Master/Doctoral Degree
- Current Certification
Clinical Psychologist (CP)
- 42 CFR Section 410.71(d)
- Doctoral Degree
Clinical Social Worker (LCSW)
- 42 CFR Section 410.73(a)
- Master/Doctoral Degree
Marriage and Family Therapists (MFT)
- 42 CFR Section 410.53(a)(1)-(3)
- Master/Doctoral Degree
- MLN Matters® MM13331: Provider Enrollment Changes to the Medicare Program Integrity Manual
Mental Health Counselors (MHC)
- 42 CFR Section 410.54(a)
- Master/Doctoral Degree
- MLN Matters® MM13331: Provider Enrollment Changes to the Medicare Program Integrity Manual
Nurse Practitioner (NP)
- 42 CFR Section 410.75(b)
- Master/Doctoral Degree
- Current Certification
Occupational Therapists in Private Practice (OT)
- 42 CFR Section 410.59(c)(i) through (iv)
Physical Therapists in Private Practice (PT)
- 42 CFR Section 410.60(c)
Physician Assistants (PA)
- 42 CFR Section 410.74
- Medical School Degree
- National Board Certification (e.g. National Commission on Certification of Physician Assistants [NCCPA])
Psychologists Billing Independently (PsyD)
- 42 CFR Section 410.71(d)
- Doctoral Degree
Speech Language Pathologist (SLP)
- 42 CFR Section 410.62(c)
Registered Dietitians or Nutrition Professional (RD or NP)
- 42 CFR Section 410.134(a) through (c)
- 42 CFR Section 410.134(d)(i) and (ii)
- License/Certification (Depends on State)
- Certification from the Commission of Dietetic Registration