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NPI Records Updated July 6, 2026 to July 12, 2026

The NPPES update published on July 12, 2026 changed 33,884 NPI records across 51 states and territories: 13,543 providers and organizations entered the registry for the first time, and 20,341 existing records were revised.

California led with 4,317 changed records, followed by Florida (2,516) and Texas (2,427), and Nurse Practitioner was the most active specialty nationwide with 2,948 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 6, 2026 to July 12, 2026. Published July 12, 2026. Refreshed weekly.

You are viewing an archived NPPES update

This page covers July 6, 2026 to July 12, 2026. View the current update.

Archived NPPES version 20260706-20260712
33,884 Records changed across 51 states and territories
13,543 Newly enumerated NPIs 40% of all changes
20,341 Updated records 60% of all changes
683 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, 55 new and 53 updated AK 108 Alabama: 302 records, 127 new and 175 updated AL 302 Arkansas: 313 records, 116 new and 197 updated AR 313 Arizona: 676 records, 225 new and 451 updated AZ 676 California: 4,317 records, 1,984 new and 2,333 updated CA 4,317 Colorado: 750 records, 300 new and 450 updated CO 750 Connecticut: 292 records, 107 new and 185 updated CT 292 District Of Columbia: 203 records, 74 new and 129 updated DC 203 Delaware: 115 records, 29 new and 86 updated DE 115 Florida: 2,516 records, 862 new and 1,654 updated FL 2,516 Georgia: 983 records, 380 new and 603 updated GA 983 Hawaii: 127 records, 52 new and 75 updated HI 127 Iowa: 236 records, 90 new and 146 updated IA 236 Idaho: 189 records, 78 new and 111 updated ID 189 Illinois: 1,078 records, 404 new and 674 updated IL 1,078 Indiana: 576 records, 223 new and 353 updated IN 576 Kansas: 330 records, 84 new and 246 updated KS 330 Kentucky: 454 records, 139 new and 315 updated KY 454 Louisiana: 384 records, 163 new and 221 updated LA 384 Massachusetts: 936 records, 432 new and 504 updated MA 936 Maryland: 918 records, 401 new and 517 updated MD 918 Maine: 118 records, 37 new and 81 updated ME 118 Michigan: 1,181 records, 584 new and 597 updated MI 1,181 Minnesota: 570 records, 177 new and 393 updated MN 570 Missouri: 597 records, 198 new and 399 updated MO 597 Mississippi: 223 records, 97 new and 126 updated MS 223 Montana: 100 records, 47 new and 53 updated MT 100 North Carolina: 1,243 records, 404 new and 839 updated NC 1,243 North Dakota: 106 records, 58 new and 48 updated ND 106 Nebraska: 409 records, 309 new and 100 updated NE 409 New Hampshire: 147 records, 39 new and 108 updated NH 147 New Jersey: 745 records, 281 new and 464 updated NJ 745 New Mexico: 327 records, 97 new and 230 updated NM 327 Nevada: 487 records, 259 new and 228 updated NV 487 New York: 1,720 records, 733 new and 987 updated NY 1,720 Ohio: 1,355 records, 561 new and 794 updated OH 1,355 Oklahoma: 487 records, 189 new and 298 updated OK 487 Oregon: 474 records, 168 new and 306 updated OR 474 Pennsylvania: 1,153 records, 443 new and 710 updated PA 1,153 Rhode Island: 145 records, 32 new and 113 updated RI 145 South Carolina: 559 records, 161 new and 398 updated SC 559 South Dakota: 72 records, 34 new and 38 updated SD 72 Tennessee: 621 records, 223 new and 398 updated TN 621 Texas: 2,427 records, 963 new and 1,464 updated TX 2,427 Utah: 320 records, 147 new and 173 updated UT 320 Virginia: 647 records, 237 new and 410 updated VA 647 Vermont: 55 records, 27 new and 28 updated VT 55 Washington: 834 records, 317 new and 517 updated WA 834 Wisconsin: 569 records, 179 new and 390 updated WI 569 West Virginia: 338 records, 188 new and 150 updated WV 338 Wyoming: 52 records, 29 new and 23 updated WY 52

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 55 53 108
Alabama 127 175 302
Arkansas 116 197 313
Arizona 225 451 676
California 1,984 2,333 4,317
Colorado 300 450 750
Connecticut 107 185 292
District Of Columbia 74 129 203
Delaware 29 86 115
Florida 862 1,654 2,516
Georgia 380 603 983
Hawaii 52 75 127
Iowa 90 146 236
Idaho 78 111 189
Illinois 404 674 1,078
Indiana 223 353 576
Kansas 84 246 330
Kentucky 139 315 454
Louisiana 163 221 384
Massachusetts 432 504 936
Maryland 401 517 918
Maine 37 81 118
Michigan 584 597 1,181
Minnesota 177 393 570
Missouri 198 399 597
Mississippi 97 126 223
Montana 47 53 100
North Carolina 404 839 1,243
North Dakota 58 48 106
Nebraska 309 100 409
New Hampshire 39 108 147
New Jersey 281 464 745
New Mexico 97 230 327
Nevada 259 228 487
New York 733 987 1,720
Ohio 561 794 1,355
Oklahoma 189 298 487
Oregon 168 306 474
Pennsylvania 443 710 1,153
Rhode Island 32 113 145
South Carolina 161 398 559
South Dakota 34 38 72
Tennessee 223 398 621
Texas 963 1,464 2,427
Utah 147 173 320
Virginia 237 410 647
Vermont 27 28 55
Washington 317 517 834
Wisconsin 179 390 569
West Virginia 188 150 338
Wyoming 29 23 52

Most active specialties

Taxonomy classifications with the most changes nationwide.

Nurse Practitioner 2,948
Behavior Technician 2,843
Counselor 2,428
Social Worker 1,881
Student in an Organized Health Care Education/Training Program 1,869
Internal Medicine 1,709
Clinic/Center 1,056
Family Medicine 1,011
Dentist 1,007
Physician Assistant 999

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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