1. Home
  2. Recently Updated

Recently Updated NPI Records

The latest weekly NPPES update published on July 26, 2026 changed 33,545 NPI records across 51 states and territories: 13,501 providers and organizations entered the registry for the first time, and 20,044 existing records were revised.

California led with 4,290 changed records, followed by Texas (2,481) and Florida (2,305), and Nurse Practitioner was the most active specialty nationwide with 3,053 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 July 20, 2026 to July 26, 2026. Published July 26, 2026. Refreshed weekly.

Current NPPES version 20260720-20260726
33,545 Records changed across 51 states and territories
13,501 Newly enumerated NPIs 40% of all changes
20,044 Updated records 60% of all changes
769 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: 108 records, 52 new and 56 updated AK 108 Alabama: 321 records, 125 new and 196 updated AL 321 Arkansas: 301 records, 145 new and 156 updated AR 301 Arizona: 591 records, 224 new and 367 updated AZ 591 California: 4,290 records, 1,989 new and 2,301 updated CA 4,290 Colorado: 704 records, 304 new and 400 updated CO 704 Connecticut: 317 records, 117 new and 200 updated CT 317 District Of Columbia: 129 records, 48 new and 81 updated DC 129 Delaware: 116 records, 32 new and 84 updated DE 116 Florida: 2,305 records, 859 new and 1,446 updated FL 2,305 Georgia: 814 records, 319 new and 495 updated GA 814 Hawaii: 127 records, 48 new and 79 updated HI 127 Iowa: 204 records, 93 new and 111 updated IA 204 Idaho: 215 records, 81 new and 134 updated ID 215 Illinois: 1,086 records, 385 new and 701 updated IL 1,086 Indiana: 874 records, 327 new and 547 updated IN 874 Kansas: 311 records, 102 new and 209 updated KS 311 Kentucky: 390 records, 130 new and 260 updated KY 390 Louisiana: 376 records, 138 new and 238 updated LA 376 Massachusetts: 762 records, 300 new and 462 updated MA 762 Maryland: 896 records, 453 new and 443 updated MD 896 Maine: 192 records, 50 new and 142 updated ME 192 Michigan: 1,217 records, 630 new and 587 updated MI 1,217 Minnesota: 573 records, 168 new and 405 updated MN 573 Missouri: 637 records, 198 new and 439 updated MO 637 Mississippi: 187 records, 68 new and 119 updated MS 187 Montana: 156 records, 36 new and 120 updated MT 156 North Carolina: 1,201 records, 429 new and 772 updated NC 1,201 North Dakota: 144 records, 64 new and 80 updated ND 144 Nebraska: 412 records, 271 new and 141 updated NE 412 New Hampshire: 156 records, 43 new and 113 updated NH 156 New Jersey: 664 records, 279 new and 385 updated NJ 664 New Mexico: 289 records, 117 new and 172 updated NM 289 Nevada: 548 records, 323 new and 225 updated NV 548 New York: 1,711 records, 723 new and 988 updated NY 1,711 Ohio: 1,284 records, 517 new and 767 updated OH 1,284 Oklahoma: 373 records, 130 new and 243 updated OK 373 Oregon: 617 records, 186 new and 431 updated OR 617 Pennsylvania: 1,015 records, 356 new and 659 updated PA 1,015 Rhode Island: 149 records, 36 new and 113 updated RI 149 South Carolina: 577 records, 160 new and 417 updated SC 577 South Dakota: 89 records, 38 new and 51 updated SD 89 Tennessee: 608 records, 274 new and 334 updated TN 608 Texas: 2,481 records, 967 new and 1,514 updated TX 2,481 Utah: 422 records, 173 new and 249 updated UT 422 Virginia: 746 records, 268 new and 478 updated VA 746 Vermont: 58 records, 22 new and 36 updated VT 58 Washington: 852 records, 278 new and 574 updated WA 852 Wisconsin: 524 records, 196 new and 328 updated WI 524 West Virginia: 346 records, 204 new and 142 updated WV 346 Wyoming: 80 records, 26 new and 54 updated WY 80

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 52 56 108
Alabama 125 196 321
Arkansas 145 156 301
Arizona 224 367 591
California 1,989 2,301 4,290
Colorado 304 400 704
Connecticut 117 200 317
District Of Columbia 48 81 129
Delaware 32 84 116
Florida 859 1,446 2,305
Georgia 319 495 814
Hawaii 48 79 127
Iowa 93 111 204
Idaho 81 134 215
Illinois 385 701 1,086
Indiana 327 547 874
Kansas 102 209 311
Kentucky 130 260 390
Louisiana 138 238 376
Massachusetts 300 462 762
Maryland 453 443 896
Maine 50 142 192
Michigan 630 587 1,217
Minnesota 168 405 573
Missouri 198 439 637
Mississippi 68 119 187
Montana 36 120 156
North Carolina 429 772 1,201
North Dakota 64 80 144
Nebraska 271 141 412
New Hampshire 43 113 156
New Jersey 279 385 664
New Mexico 117 172 289
Nevada 323 225 548
New York 723 988 1,711
Ohio 517 767 1,284
Oklahoma 130 243 373
Oregon 186 431 617
Pennsylvania 356 659 1,015
Rhode Island 36 113 149
South Carolina 160 417 577
South Dakota 38 51 89
Tennessee 274 334 608
Texas 967 1,514 2,481
Utah 173 249 422
Virginia 268 478 746
Vermont 22 36 58
Washington 278 574 852
Wisconsin 196 328 524
West Virginia 204 142 346
Wyoming 26 54 80

Most active specialties

Taxonomy classifications with the most changes nationwide.

Nurse Practitioner 3,053
Behavior Technician 2,819
Counselor 2,690
Social Worker 1,960
Student in an Organized Health Care Education/Training Program 1,685
Internal Medicine 1,546
Physician Assistant 1,071
Registered Nurse 1,071
Clinic/Center 990
Family Medicine 986

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.

NPI Guides & Resources