Participation & Credentialing

Contracting with BCBSND

Credentialing Applications — Fillable PDF's
Are you new to the North Dakota area or have you recently graduated? If so, please complete the appropriate professional application below.

NPI

New Location
The following information is needed to set up a new location and/or business relationship. This form is for providers who have completed the credentialing/recredentialing process with BCBSND.

Need to Contact Provider Networks?
Phone: 800-756-2749
Email: Provider Networks

Request Application to be a BCBSND Participating Provider
Your practicing address must be within North Dakota or within one contiguous county of North Dakota. Note: If uncertain whether a provider has been credentialed with BCBSND, please complete this request. Provider Networks will research, and send you the appropriate paperwork or instructions.
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