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healthcare: verify CMS-10114 update path, correct NPI Enumerator address, build CMS-10114 filler

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Verified firsthand against the live CMS-10114 (Rev. 02/25, OMB 0938-0931):
- Section 1A confirms paper is valid for Change of Information (#2) AND
  Reactivation (#4), not just initial enumeration. Resolves the UNCERTAIN flag.
- Current mailing address is CMS NPI Enumerator Services, Mail Stop DO-01-51,
  7500 Security Blvd, Baltimore MD 21244. The old Fargo PO Box 6059 is retired;
  corrected in mac_routing.NPI_ENUMERATOR + all docs.
- No electronic no-login equivalent exists for CMS (NPI Registry API is
  read-only; PECOS/NPPES-IA require login), unlike FMCSA's ask.fmcsa ticket form.
  So tiers stay: Standard=paper CMS-10114 (no login), Expedited=NPPES surrogate.

New: cms10114_pdf_filler.py fills the flat official form via text overlay
(reason checkbox + NPI + Section 2A identity + Section 4A cert name + signature
anchor); wired into npi_provider._generate_10114_for_signing for nppes-update.
Signed forms route to the NPI Enumerator via the existing daily batch.

Tests: test_cms10114.py 27/27, test_paper_batch.py 15/15, Astro build 58 pages.
This commit is contained in:
justin 2026-06-07 02:04:41 -05:00
parent f9c294e962
commit e6a630ada1
10 changed files with 540 additions and 48 deletions
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6
scripts/workers/mac_routing.py
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@ -107,9 +107,13 @@ STATE_TO_MAC: dict[str, MAC] = {
# NPI Enumerator paper address (NPPES / CMS-10114 paper path) — not a MAC, but a
# destination the daily batch groups by, same as a MAC.
# VERIFIED 2025 against CMS-10114 (Rev. 02/25), OMB 0938-0931, page 5 "Or send the
# completed signed application to:". The earlier Fargo, ND PO Box 6059 address is
# RETIRED; the current address printed on the form is the Baltimore one below.
NPI_ENUMERATOR = MAC(
"npi_enumerator", "NPI Enumerator (NPPES / CMS-10114 paper)",
("NPI Enumerator", "P.O. Box 6059", "Fargo, ND 58108-6059"),
("CMS NPI Enumerator Services", "Mail Stop DO-01-51",
"7500 Security Blvd.", "Baltimore, MD 21244"),
)