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NPI Records Updated June 29, 2026 to July 5, 2026

The NPPES update published on July 5, 2026 changed 30,223 NPI records across 51 states and territories: 11,398 providers and organizations entered the registry for the first time, and 18,825 existing records were revised.

California led with 3,770 changed records, followed by Florida (2,273) and Texas (2,235), and Nurse Practitioner was the most active specialty nationwide with 2,388 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 June 29, 2026 to July 5, 2026. Published July 5, 2026. Refreshed weekly.

You are viewing an archived NPPES update

This page covers June 29, 2026 to July 5, 2026. View the current update.

Archived NPPES version 20260629-20260705
30,223 Records changed across 51 states and territories
11,398 Newly enumerated NPIs 38% of all changes
18,825 Updated records 62% of all changes
July 5, 2026 Published synced with CMS NPPES weekly

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: 86 records, 41 new and 45 updated AK 86 Alabama: 307 records, 108 new and 199 updated AL 307 Arkansas: 223 records, 100 new and 123 updated AR 223 Arizona: 594 records, 197 new and 397 updated AZ 594 California: 3,770 records, 1,655 new and 2,115 updated CA 3,770 Colorado: 714 records, 219 new and 495 updated CO 714 Connecticut: 300 records, 95 new and 205 updated CT 300 District Of Columbia: 139 records, 52 new and 87 updated DC 139 Delaware: 93 records, 19 new and 74 updated DE 93 Florida: 2,273 records, 824 new and 1,449 updated FL 2,273 Georgia: 905 records, 315 new and 590 updated GA 905 Hawaii: 90 records, 29 new and 61 updated HI 90 Iowa: 192 records, 65 new and 127 updated IA 192 Idaho: 173 records, 59 new and 114 updated ID 173 Illinois: 1,048 records, 388 new and 660 updated IL 1,048 Indiana: 599 records, 217 new and 382 updated IN 599 Kansas: 328 records, 77 new and 251 updated KS 328 Kentucky: 317 records, 131 new and 186 updated KY 317 Louisiana: 287 records, 107 new and 180 updated LA 287 Massachusetts: 748 records, 273 new and 475 updated MA 748 Maryland: 710 records, 322 new and 388 updated MD 710 Maine: 99 records, 30 new and 69 updated ME 99 Michigan: 1,128 records, 499 new and 629 updated MI 1,128 Minnesota: 501 records, 161 new and 340 updated MN 501 Missouri: 542 records, 166 new and 376 updated MO 542 Mississippi: 224 records, 71 new and 153 updated MS 224 Montana: 106 records, 46 new and 60 updated MT 106 North Carolina: 1,031 records, 334 new and 697 updated NC 1,031 North Dakota: 123 records, 62 new and 61 updated ND 123 Nebraska: 463 records, 326 new and 137 updated NE 463 New Hampshire: 140 records, 42 new and 98 updated NH 140 New Jersey: 596 records, 238 new and 358 updated NJ 596 New Mexico: 353 records, 119 new and 234 updated NM 353 Nevada: 312 records, 172 new and 140 updated NV 312 New York: 1,397 records, 532 new and 865 updated NY 1,397 Ohio: 1,361 records, 528 new and 833 updated OH 1,361 Oklahoma: 351 records, 127 new and 224 updated OK 351 Oregon: 447 records, 151 new and 296 updated OR 447 Pennsylvania: 1,093 records, 352 new and 741 updated PA 1,093 Rhode Island: 109 records, 21 new and 88 updated RI 109 South Carolina: 442 records, 151 new and 291 updated SC 442 South Dakota: 67 records, 35 new and 32 updated SD 67 Tennessee: 601 records, 183 new and 418 updated TN 601 Texas: 2,235 records, 790 new and 1,445 updated TX 2,235 Utah: 307 records, 139 new and 168 updated UT 307 Virginia: 808 records, 204 new and 604 updated VA 808 Vermont: 54 records, 31 new and 23 updated VT 54 Washington: 645 records, 267 new and 378 updated WA 645 Wisconsin: 490 records, 165 new and 325 updated WI 490 West Virginia: 232 records, 135 new and 97 updated WV 232 Wyoming: 70 records, 28 new and 42 updated WY 70

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 41 45 86
Alabama 108 199 307
Arkansas 100 123 223
Arizona 197 397 594
California 1,655 2,115 3,770
Colorado 219 495 714
Connecticut 95 205 300
District Of Columbia 52 87 139
Delaware 19 74 93
Florida 824 1,449 2,273
Georgia 315 590 905
Hawaii 29 61 90
Iowa 65 127 192
Idaho 59 114 173
Illinois 388 660 1,048
Indiana 217 382 599
Kansas 77 251 328
Kentucky 131 186 317
Louisiana 107 180 287
Massachusetts 273 475 748
Maryland 322 388 710
Maine 30 69 99
Michigan 499 629 1,128
Minnesota 161 340 501
Missouri 166 376 542
Mississippi 71 153 224
Montana 46 60 106
North Carolina 334 697 1,031
North Dakota 62 61 123
Nebraska 326 137 463
New Hampshire 42 98 140
New Jersey 238 358 596
New Mexico 119 234 353
Nevada 172 140 312
New York 532 865 1,397
Ohio 528 833 1,361
Oklahoma 127 224 351
Oregon 151 296 447
Pennsylvania 352 741 1,093
Rhode Island 21 88 109
South Carolina 151 291 442
South Dakota 35 32 67
Tennessee 183 418 601
Texas 790 1,445 2,235
Utah 139 168 307
Virginia 204 604 808
Vermont 31 23 54
Washington 267 378 645
Wisconsin 165 325 490
West Virginia 135 97 232
Wyoming 28 42 70

Most active specialties

Taxonomy classifications with the most changes nationwide.

Nurse Practitioner 2,388
Counselor 2,196
Behavior Technician 2,101
Student in an Organized Health Care Education/Training Program 1,925
Internal Medicine 1,836
Social Worker 1,613
Dentist 957
Family Medicine 854
Clinic/Center 823
Registered Nurse 815

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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