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Recently Updated NPI Records

The latest weekly NPPES update published on November 8, 2026 changed 30,566 NPI records across 51 states and territories: 12,041 providers and organizations entered the registry for the first time, and 18,525 existing records were revised.

California led with 3,909 changed records, followed by Florida (2,363) and Texas (2,205), and Nurse Practitioner was the most active specialty nationwide with 3,305 changes. Select any state on the map or in the table for its full record list, filterable by specialty, city, entity type, and PECOS enrollment.

Sourced from the official NPPES NPI registry. Update window November 2, 2026 to November 8, 2026. Published November 8, 2026. Refreshed weekly.

Current NPPES version 20261102-20261108
30,566 Records changed across 51 states and territories
12,041 Newly enumerated NPIs 39% of all changes
18,525 Updated records 61% of all changes
711 Records removed deactivated or deleted by CMS

Where this update's changes happened

Shaded by the number of NPI records added or updated. Select a state to see its full list.

Alaska: 101 records, 35 new and 66 updated AK 101 Alabama: 247 records, 97 new and 150 updated AL 247 Arkansas: 241 records, 103 new and 138 updated AR 241 Arizona: 572 records, 198 new and 374 updated AZ 572 California: 3,909 records, 1,830 new and 2,079 updated CA 3,909 Colorado: 628 records, 239 new and 389 updated CO 628 Connecticut: 271 records, 114 new and 157 updated CT 271 District Of Columbia: 138 records, 60 new and 78 updated DC 138 Delaware: 67 records, 26 new and 41 updated DE 67 Florida: 2,363 records, 889 new and 1,474 updated FL 2,363 Georgia: 789 records, 326 new and 463 updated GA 789 Hawaii: 100 records, 35 new and 65 updated HI 100 Iowa: 222 records, 93 new and 129 updated IA 222 Idaho: 163 records, 63 new and 100 updated ID 163 Illinois: 1,109 records, 346 new and 763 updated IL 1,109 Indiana: 513 records, 179 new and 334 updated IN 513 Kansas: 255 records, 79 new and 176 updated KS 255 Kentucky: 355 records, 119 new and 236 updated KY 355 Louisiana: 315 records, 107 new and 208 updated LA 315 Massachusetts: 843 records, 256 new and 587 updated MA 843 Maryland: 975 records, 569 new and 406 updated MD 975 Maine: 133 records, 41 new and 92 updated ME 133 Michigan: 1,168 records, 616 new and 552 updated MI 1,168 Minnesota: 517 records, 213 new and 304 updated MN 517 Missouri: 464 records, 170 new and 294 updated MO 464 Mississippi: 171 records, 46 new and 125 updated MS 171 Montana: 111 records, 39 new and 72 updated MT 111 North Carolina: 984 records, 325 new and 659 updated NC 984 North Dakota: 96 records, 43 new and 53 updated ND 96 Nebraska: 351 records, 251 new and 100 updated NE 351 New Hampshire: 103 records, 42 new and 61 updated NH 103 New Jersey: 772 records, 309 new and 463 updated NJ 772 New Mexico: 216 records, 90 new and 126 updated NM 216 Nevada: 379 records, 194 new and 185 updated NV 379 New York: 1,642 records, 620 new and 1,022 updated NY 1,642 Ohio: 1,399 records, 530 new and 869 updated OH 1,399 Oklahoma: 278 records, 102 new and 176 updated OK 278 Oregon: 574 records, 184 new and 390 updated OR 574 Pennsylvania: 933 records, 298 new and 635 updated PA 933 Rhode Island: 125 records, 38 new and 87 updated RI 125 South Carolina: 474 records, 130 new and 344 updated SC 474 South Dakota: 54 records, 11 new and 43 updated SD 54 Tennessee: 486 records, 169 new and 317 updated TN 486 Texas: 2,205 records, 765 new and 1,440 updated TX 2,205 Utah: 346 records, 135 new and 211 updated UT 346 Virginia: 742 records, 297 new and 445 updated VA 742 Vermont: 70 records, 34 new and 36 updated VT 70 Washington: 755 records, 245 new and 510 updated WA 755 Wisconsin: 444 records, 139 new and 305 updated WI 444 West Virginia: 337 records, 175 new and 162 updated WV 337 Wyoming: 61 records, 27 new and 34 updated WY 61

Fewer More updates

All states and territories

51 with activity

Select any column heading to sort. Each state links to its full record list for this update.

State New Updated Total New vs updated
Alaska 35 66 101
Alabama 97 150 247
Arkansas 103 138 241
Arizona 198 374 572
California 1,830 2,079 3,909
Colorado 239 389 628
Connecticut 114 157 271
District Of Columbia 60 78 138
Delaware 26 41 67
Florida 889 1,474 2,363
Georgia 326 463 789
Hawaii 35 65 100
Iowa 93 129 222
Idaho 63 100 163
Illinois 346 763 1,109
Indiana 179 334 513
Kansas 79 176 255
Kentucky 119 236 355
Louisiana 107 208 315
Massachusetts 256 587 843
Maryland 569 406 975
Maine 41 92 133
Michigan 616 552 1,168
Minnesota 213 304 517
Missouri 170 294 464
Mississippi 46 125 171
Montana 39 72 111
North Carolina 325 659 984
North Dakota 43 53 96
Nebraska 251 100 351
New Hampshire 42 61 103
New Jersey 309 463 772
New Mexico 90 126 216
Nevada 194 185 379
New York 620 1,022 1,642
Ohio 530 869 1,399
Oklahoma 102 176 278
Oregon 184 390 574
Pennsylvania 298 635 933
Rhode Island 38 87 125
South Carolina 130 344 474
South Dakota 11 43 54
Tennessee 169 317 486
Texas 765 1,440 2,205
Utah 135 211 346
Virginia 297 445 742
Vermont 34 36 70
Washington 245 510 755
Wisconsin 139 305 444
West Virginia 175 162 337
Wyoming 27 34 61

Most active specialties

Taxonomy classifications with the most changes nationwide.

Nurse Practitioner 3,305
Behavior Technician 2,987
Counselor 2,574
Social Worker 1,902
Physician Assistant 1,147
Internal Medicine 1,111
Registered Nurse 898
Clinic/Center 889
Physical Therapist 819
Student in an Organized Health Care Education/Training Program 680

Update archive

Every weekly NPPES update keeps its own page.

What counts as a recently updated NPI record

A record appears in an update when the Last Update Date on its NPPES file falls inside that update's window. NPI Profile groups those records into two kinds:

New The NPI was enumerated during this window. The provider or organization is appearing in the registry for the first time.
Updated The NPI already existed and something on the record changed, such as a practice address, a taxonomy, a phone number, or an authorized official.

A third group does not appear in the list at all. NPPES retires an NPI when a provider dies, when an organization dissolves, or when a duplicate enumeration is merged into the correct record, and CMS drops the file from the weekly distribution rather than marking it. Those NPIs are counted above but cannot be listed, because the source data for them no longer exists. An NPI that stops appearing is not necessarily invalid: a deactivated number stays permanently assigned to its original owner and is never reissued, so claims history against it remains meaningful.

A stale practice address or taxonomy code is one of the more common reasons a claim rejects, so billing and payer teams work from the updated records and check them against what they already have on file. For credentialing teams and recruiters the new enumerations are the useful half, since an enumeration is the first public record that a provider or organization has entered a market.

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