The PMHNP Resource Hub
PMHNP Billing, Credentialing & Practice Operations
We handle medical billing, credentialing and payer contracts for psychiatric nurse practitioners nationwide, from a solo PMHNP opening a first practice to a group adding prescribers. Credentialing is a one time setup fee per provider plus $350 to $500 per payer, and Ongoing Billing runs from 7% of collections down to 4.5% by practice size, with a $300 monthly minimum for a solo provider.
See Packages & PricesBuy online, sign your agreements in the Command Suite, and we start within three business days after we receive your completed onboarding information, documents and access.
Choose Your Situation
Choose The PMHNP Path That Matches Your Situation
Pick the sentence closest to your situation. First Practice Launch has one fixed price, and credentialing adds up every provider and payer you choose, so you see the total before checkout.
Start Here
Select One Situation.
Pick one and we'll show the package, the full price, what's included and where to buy.
Recommended Package
First Practice Launch
Build the business, payer, EHR, portal, scheduling, and billing foundation together.
Full Price$6,000 total, or $1,500 a month for four months
What We Handle And What Has To Be In Place
We handle: Setup for a provider opening a first practice. Both payment options use the same 90 day work and handoff schedule. Every stage opens right away; payments not yet due do not delay handoff.
What has to be in place: For a licensed provider who is not already operating. If licensure is pending, the practice is already open, or the fit is uncertain, ask Practice Concierge first.
Recommended Package
Insurance Credentialing (New Provider)
Prepare and manage credentialing for the selected commercial payers under the clinic’s existing signed contracts.
Pricing$1,550 total for one provider and two existing payer relationships. Includes $750 setup and $800 for two applications. Additional payers are $400 each; two payer minimum
What We Handle And What Has To Be In Place
We handle: Application preparation, roster or affiliation work, payer follow-up, and status tracking for each selected provider.
What has to be in place: The clinic must already hold executed group contracts with every selected payer. The provider completes and attests their own DataSpring provider profile (formerly CAQH). If the provider would rather we update the profile, they can choose to share their sign-in through secure onboarding and change the password when we’re done.
Recommended Package
Insurance Credentialing (Group Credentialing And Contracting)
Build the selected new commercial payer relationships for the formed practice and each selected rendering provider.
Pricing$2,000 total for one provider and two commercial payer contracts. Includes $1,000 setup and $1,000 for two applications. Additional payers are $500 each; two payer minimum
What We Handle And What Has To Be In Place
We handle: Organizational contracting, credentialing and linking each rendering provider, portals, EFT/ERA, directory verification, managed follow-up, and status tracking.
What has to be in place: For a group or practice with its own Tax ID and Type 2 NPI that holds no contract with the payer yet. Payer participation, timing, effective dates, and approval remain outside our control.
Ongoing Or Complex Work
Need Software Or A Broader Transition?
Group Practice Moving Off Headway Or Alma
Group Credentialing And Contracting
$2,000 total for one provider and two commercial payers, setup includedStart Here
Where PMHNPs Begin
Most PMHNPs come to us for one of three things. They want billing off their plate, they need credentialing, or they’re launching from scratch.
PMHNP Billing & Coding
Incident-to vs. direct, the 85% question, and the codes you use.PMHNP Credentialing
CAQH, PECOS, Medicaid, and commercial panels, in the right order.How To Start A PMHNP Practice
Practice setup, NPIs, EHR, and billing.PMHNP Billing Services
Claims, denials, payment posting, and A/R follow up for your practice.Go Deeper
Every PMHNP Billing & Practice Question, Covered
Billing, Coding And Getting Paid
PMHNP CPT Codes Cheat Sheet
Incident-To Billing
Can PMHNPs Bill Medicare?
PMHNP Reimbursement Rates
Claim Denials & Appeals
PMHNP Superbill
Prior Authorization
Spravato (Esketamine) Billing
Setting Your Fee Schedule
Credentialing And Payers
Credentialing Timeline
Which Panels To Join First
Adding A PMHNP To Your Practice
Collaborative Practice Agreements
Scope Of Practice By State
Starting And Running Your Practice
FAQ
PMHNP Questions We Hear Most
Can A PMHNP Bill Insurance Under Their Own Name?
Yes. Once enrolled, a PMHNP bills Medicare, Medicaid, and commercial payers under their own NPI. Medicare pays 85% of the physician fee schedule under the NP’s own NPI (42 CFR 414.56); some settings allow incident-to or split/shared at 100%. See our billing and coding guide.
How Is PMHNP Billing Different From Psychiatrist Billing?
The CPT codes are largely the same. What’s different is payment and enrollment: the Medicare 85% reduction, incident-to and supervision rules, and state Medicaid and scope policies.
How Long Does PMHNP Credentialing Take?
Plan for 60 to 120 days per payer, and longer for Medicaid or a closed panel. We’ll manage the whole queue for you. See our credentialing guide.
Do You Work With Brand-New PMHNP Practices?
Yes. You don’t need your business, Tax ID or NPI first. We walk you through them, then set up the payer enrollment, EHR and billing your package includes. See how to start a PMHNP practice.
The Credentialing Checklist For PMHNPs
Five pages: every document payers ask for, the CAQH/DataSpring steps that stall files, how to pick payers, a renewal calendar and a payer tracker you can fill in. We email it to you right away.
Choose The Next Step For Your PMHNP Practice
Every package has a defined scope and its price on the page. Not sure which one fits? The automated Practice Concierge can match your practice to the right one.