Submit Your Credentialing Onboarding Form

Note: If you joined Nourish before December 1, 2025, your dashboard may show the Verifiable Onboarding Form task instead. In that case, you will complete your credentialing onboarding form through Verifiable. Please refer to this help center article for detailed instructions on completing the Verifiable form.

The Credentialing Onboarding Form is a short form completed through the provider portal. During this process, you’ll upload:

Your NPDB report
Your resume

You’ll also provide your CAQH login information and select your opt-in status (whether Nourish updates your CAQH for you).

Step 1: Find the Credentialing Form as part of the Credentialing Onboarding 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: Add Board Certification

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: CAQH

Enter your CAQH Username, CAQH Password, and CAQH ID.
Click Confirm CAQH Permission if you’d like to opt for Nourish to manage your profile updates.

Step 6: Enter CAQH Information

You should now be on the CAQH page.
Enter your CAQH Username, CAQH Password, and CAQH ID.

Step 7: Upload Required Documents

You will upload two documents — resume and NPDB report.

Step 8: Submit Form

Click Submit to submit your Onboarding Form.
Status will display as Completed