━━ PRE-REQUISITE ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ Surrogate Access grant from AO must be in place. Confirm AMC visible in surrogate dropdown on Screen 1. ━━ Screen 1 — Start NPI Application ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ What type of NPI? → Organization NPI (if sole proprietor — STOP, use T1) Are you an employee? → No, surrogate working on behalf of Provider Surrogate Organization → Select AMC from dropdown [Next] ━━ Screen 3 — Profile ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ EIN → from NCL (do NOT enter SSN or ITIN) Legal Business Name → from NCL (must match IRS name exactly — use throughout) Is org a subpart? → No [Next] ━━ Screen 10 — Taxonomy ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ Practice Type → 193200000X Multi Specialty (default — Single Specialty only if all providers confirmed same) Primary Taxonomy Code → from NCL (first entered = Primary) [Next] ━━ Screen 11 — Contact Information ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ >> AMC: Entire section private. Always enter AMC (Nat) first. Primary — AMC → Nat's name, phone, email (hardcoded) Secondary — Client → only if NCL indicates client wants NPI notifications [Next]