The PMHNP Resource Hub
PMHNP Billing, Credentialing & Practice Operations
Practical billing, payer enrollment, and operations support for psychiatric nurse practitioners opening or running an independent practice nationwide.
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Recommended Package
First Practice Launch
Build the business, payer, EHR, portal, scheduling, and billing foundation together.
Full Price$6,000 total, paid once or as six $1,000 monthly payments
Included Work And Fit Boundary
We handle: A 90-day guided implementation project for providers starting from zero or with the practice formed but the operating foundation unfinished.
This must be true: For a licensed provider who is not already operating. Awaiting licensure, already operating, or uncertain-fit buyers should ask the AI Concierge first.
Recommended Package
New Provider Credentialing & Contracting
Prepare and manage credentialing for up to five commercial payers under the clinic’s existing contracts.
Full Price$3,000
Included Work And Fit Boundary
We handle: Application preparation, roster or affiliation work, payer follow-up, and status tracking for one provider.
This must be true: The clinic must already hold executed group contracts with every selected payer. The provider completes and attests their own CAQH/DataSpring Provider Data Portal profile; we never request a CAQH password.
Recommended Package
Move Existing Payer Contracts To A New Practice Or Tax ID
Move up to five existing commercial payer relationships to your new practice billing organization.
Full Price$2,500
Included Work And Fit Boundary
We handle: Payer transition work, group NPI and Tax ID updates, portal coordination, and EFT/ERA re-enrollment for one provider.
This must be true: 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 up to five new commercial payer relationships for one formed practice and one provider.
Full Price$4,000
Included Work And Fit Boundary
We handle: Group contracting, individual credentialing, payer follow-up, and status tracking for one provider and up to five selected commercial payers.
This must be true: 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 a group or platform
Go Independent
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Where PMHNPs Begin
Hand off billing, get credentialed, or launch 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
Entity, NPI, EHR, and your first paid claim.Done-For-You PMHNP Billing
Hand off coding, claims, follow-up, and appeals.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?
Largely the same CPT codes. The difference 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, longer for Medicaid or closed panels. We manage the whole queue. See our credentialing guide.
Do You Work With Brand-New PMHNP Practices?
Yes. We set up the entity, NPI, enrollment, and billing from day one. See how to start a PMHNP practice.
Get The Free PMHNP Credentialing Checklist
The exact structure we use on real credentialing projects — payer strategy, CAQH/DataSpring, follow-up cadence, post-approval steps. PDF, no fluff.
Choose The Next Step For Your PMHNP Practice
Compare defined packages with prices shown upfront, or use the automated AI Concierge for help matching your practice to the right path.