Supporting independent providers in value-based care contracts across New York.

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Provider Enrollment Packet

Download, complete, and return the forms below to begin your onboarding with Network Solutions IPA. Our team is here to help at every step.

Rate Acceptance FormPDF CAQH AuthorizationPDF W-9 FormPDF Downstream Participation AgreementPDF

Questions About Onboarding?

Our team will walk you through the enrollment process and answer any questions about partnering with NSIPA.

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Our Location
PO Box 190416
Brooklyn, NY 11219

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Our Location
PO Box 190416
Brooklyn, NY 11219