Complete the Credentialing Onboarding Form
⏰ Important deadline: You are required to complete this form within 14 days of your start date to ensure you remain compliant with payer requirements and continue reaching patients across plans.
The Credentialing Onboarding Form is a short form located on your Credentialing Checklist in the Nourish Provider Portal. As part of this process, you’ll upload:
Your NPDB Self-Query report
Your resume
💡 CAQH Profile Management: Within this form, you can choose to have Nourish manage your CAQH profile by entering your CAQH login information and selecting the opt-in option
Have questions? We're here to help!
Join our live sessions or contact the team for assistance.
Credentialing Intro Session | Every Thursday at 1 pm EST. Join us on Zoom by clicking here! |
Credentialing Office Hours | Every Thursday at 4 pm EST. Join us on Zoom by clicking here! |
Credentialing Email | Reach our team at credentialing@usenourish.com! |
Step 1: Step 1: Locate the Credentialing Onboarding Form in your Credentialing Checklist
Click Go to Form to complete this step
Step 2: Complete Personal Information
Enter your Phone Number
Enter your Birthdate.
Enter your Social Security Number.
Enter your Mailing Address (Street, City, State, Zip/Postal Code).
Draw your Signature in the box provided.
Step 3: Enter CDR Certification Information
Enter your CDR Certification Number.
Enter your CDR Expiration Date.
Step 4: Enter Aliases
If you have any aliases (former name, maiden name, etc.), click Add Alias and complete the fields.
Step 5: Enter CAQH Information
Enter your CAQH Username, CAQH Password, and CAQH ID.
Click I Confirm CAQH Permission if you’d like to opt for Nourish to manage your profile updates.
Step 6: Upload Required Documents
You will upload two documents — resume and NPDB Self-Query report.
Step 7: Submit Form
Reminder: This form must be completed within 14 days of your start date.
Click Submit to complete your Onboarding Form.
Status will display as Completed