Medicare Enrollment Alerts by NPI: Provider Enrolled or Dropped
Pricing
from $20.00 / 1,000 ppef npi enrollment event delivereds
Medicare Enrollment Alerts by NPI: Provider Enrolled or Dropped
Get alerted when a healthcare provider on your NPI list is dropped from or added to Medicare fee-for-service enrollment, or changes provider type or enrollment ID. For credentialing and payer-network teams. Official CMS data.cms.gov data, no API key.
Pricing
from $20.00 / 1,000 ppef npi enrollment event delivereds
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Daniel Witney
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US CMS Medicare PPEF NPI Portfolio Enrollment Status Monitor
Watch a book of NPIs and emit typed enrollment events when the official CMS data.cms.gov Medicare Fee-For-Service Public Provider Enrollment (PPEF) extract shows a provider appearing, disappearing, or changing provider type / enrollment ID linkage.
Not a PECOS portal HTML screener. Not an NPPES directory dump. Not unpaid PEPM / credentialing SaaS scrape.
Coverage honesty (PPEF FFS vs full PECOS)
PPEF is a public Fee-For-Service enrollment extract derived from PECOS and published on data.cms.gov. Absence from this extract is not proof of every possible Medicare enrollment status (e.g. private PECOS portal states, non-FFS programs). Cadence follows the CMS publish schedule (periodic extract, not streaming). Product fields default to NPI + enrollment IDs + provider type + state (minimize unnecessary name fields when the customer supplies an NPI-only book).
Events
| Event | When |
|---|---|
PPEF_NPI_ENROLLED | Watched NPI missing → present on extract |
PPEF_NPI_DROPPED | Watched NPI present → missing on extract |
PPEF_ENROLLMENT_ID_CHANGED | ENRLMT_ID set changed while still present |
PPEF_PROVIDER_TYPE_CHANGED | PROVIDER_TYPE_CD / PROVIDER_TYPE_DESC fingerprint changed |
RUN_STATUS | Non-billable health row every successful run |
First observation of an NPI stores a baseline only (no product charge).
Modes
sourceMode=fixture(default): Store health / CI. WithemitFixtureDemoEvents=false(default) emits onlyRUN_STATUS/FIXTURE_HEALTH→ 0 product charges.sourceMode=live: Official CMS data-apifilter[NPI]=…against the PPEF Enrollment dataset (no API key). Portfolio-safe — does not download the national ~320MB CSV by default.
Pricing (Model A)
ppef-npi-enrollment-event-delivered@ $0.02 / unique delivered eventapify-actor-start@ $0.00005- Quiet books ≈ $0 product charge
Input
See .actor/input_schema.json. Primary field: npis (10-digit). Optional signalGroups: enrollment, provider_type.
Legal
GREEN — CMS data.cms.gov public dataset. Cite CMS + extract date. No medical records in default product fields.
A1b wedge
NPI watchlist × scheduled PPEF snapshot diff → typed enrollment events only for the book. Existing Store shelf is PECOS screeners / NPPES dumps (wrong job). See opportunity/reports/phase3-a1b-next3-v10.md.
