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.
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