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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Choose one path. Fixed-price packages go directly to secure checkout; work that depends on your contracts, systems, or transition plan starts with a Fit Call.
I already participate with these payers and am moving the relationships to a new practice or Tax ID.
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.
$2,500
What’s included and what must be true before you buy
Included: We move the group NPI, Tax ID, and payer records to your new practice, update the payer portals and EFT/ERA, and manage the transition for one provider.
Important: The provider must already participate with each selected payer. Payer timing, effective dates, and approval are not guaranteed.
I am a first-time provider joining an already-contracted clinic.
New Provider Credentialing & Contracting
Prepare and manage credentialing for up to five commercial payers under the clinic’s existing contracts.
$3,000
What’s included and what must be true before you buy
Included: We build and submit the applications, run the roster and affiliation work, set up the payer portals and EFT/ERA, and manage accountable follow-up for one provider.
Important: The clinic must already hold executed group contracts with every selected payer. The provider completes and attests their own CAQH Provider Data Portal profile; we never request a CAQH password.
My practice has an EIN and Type 2 NPI and needs its own commercial payer contracts.
Direct Payer Contracting & Credentialing
Build up to five new commercial payer relationships for one formed practice and one provider.
$4,000
What’s included and what must be true before you buy
Included: We handle group contracting and individual credentialing, set up the portals and payments, and manage accountable follow-up for one provider across up to five commercial payers.
Important: The practice must already have an EIN and Type 2 NPI. Payer participation, timing, effective dates, and approval remain outside our control.
I am newly licensed and opening my first practice.
First Practice Launch
Build the business, payer, EHR, portal, scheduling, and billing foundation together.
$6,000 total, paid once or as six $1,000 monthly payments
What’s included and what must be true before you buy
Included: A 90-day guided implementation project for providers starting from zero or with the practice formed but the operating foundation unfinished.
Important: For a licensed provider who is not already operating. Awaiting licensure, already operating, or uncertain-fit buyers should ask the AI Concierge first.
I am leaving a group, platform, or employer to operate independently.
Go Independent
Map the business setup, payer, billing, technology, and operating transition without losing control of the practice.
Scoped in writing — no call required
What’s included and what must be true before you buy
Included: A written, situation-specific transition scope based on existing contracts, business structure, dates, and systems.
Important: Ownership changes, new contracts, facilities, and complex multi-practice transitions require written scoping.
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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, 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.