The PMHNP Resource Hub
PMHNP Billing, Credentialing & Practice Operations
We handle billing, credentialing and payer contracts for psychiatric nurse practitioners nationwide, from a solo PMHNP opening a first practice to a group adding prescribers. Credentialing starts at $450 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 & PricesChoose 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.
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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, staged over six months on the monthly plan or 90 days paid in full.
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
New Provider Credentialing & Contracting
Prepare and manage credentialing for the selected commercial payers under the clinic’s existing signed contracts.
Pricing$550 per selected commercial payer, per provider
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 wants us to maintain the profile, they share access securely and change the password when we’re done.
Recommended Package
Move Existing Payer Relationships To A New Practice Or Tax ID
Move the selected existing commercial payer relationships to your new practice billing organization.
Pricing$450 per selected commercial payer, per provider
What We Handle And What Has To Be In Place
We handle: Payer transition work, group NPI and Tax ID updates, portal coordination, and EFT/ERA re-enrollment for each selected provider.
What has to be in place: The provider must already participate with each selected payer. Payer timing, effective dates, and approval are not guaranteed.
Recommended Package
Direct Payer Contracting & Credentialing
Build the selected new commercial payer relationships for the formed practice and each selected rendering provider.
Pricing$700 per selected commercial payer, per provider
What We Handle And What Has To Be In Place
We handle: Organizational contracting, rendering-provider credentialing and linking, portals, EFT/ERA, directory verification, managed follow-up, and status tracking.
What has to be in place: The practice must already have an EIN and Type 2 NPI. Payer participation, timing, effective dates, and approval remain outside our control.
Ongoing Or Complex Work
Need Software Or A Broader Transition?
Leave Headway, Alma Or A Group
Direct Payer Contracting
$700 per payer, per providerStart 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
Credentialing Timeline
Adding A PMHNP To Your Practice
Prior Authorization
Intake And Documentation
Setting Your Fee Schedule
No-Show & Cancellation Policies
Claim Denials & Appeals
Spravato (Esketamine) Billing
Which Panels To Join First
Collaborative Practice Agreements
LLC Vs. PLLC Vs. PC
Malpractice Insurance
PMHNP Superbill
Cash-Pay Vs. Insurance
Telehealth Prescribing (2026)
90-Day Launch Checklist
PMHNP CPT Codes Cheat Sheet
Incident-To Billing
Can PMHNPs Bill Medicare?
PMHNP Reimbursement Rates
Scope Of Practice By State
Headway Vs. Alma Vs. Private 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.