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.
- Verified Standard(no-login)/Expedited(surrogate) matrix from official CMS-855
PDFs (docs/healthcare-filing-tiers-verified.md): reactivation+revalidation are
855I paper-to-MAC reasons, original-signature, routed by state; sig may not be
delegated; 855B needs PECOS app fee.
- Add scripts/workers/mac_routing.py: state->MAC routing (all 56 jurisdictions,
12 destinations) for envelope addressing + daily batch grouping. Addresses
marked VERIFY before live mail.
- npi_provider.py: fix access strings to two-tier framing; NPPES update/reactivation
no longer 'online-only'; note 855B fee.
- checkout.ts + service pages: strip client-facing mechanics & the paper-vs-tier
choice; surrogate is the only optional, positively-framed ask (faster, never
required, never share password).
