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NPI Records Updated August 3, 2026 to August 9, 2026

The NPPES update published on August 9, 2026 changed 33,437 NPI records across 51 states and territories: 13,698 providers and organizations entered the registry for the first time, and 19,739 existing records were revised.

California led with 4,713 changed records, followed by Texas (2,557) and Florida (2,338), and Nurse Practitioner was the most active specialty nationwide with 3,138 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 August 3, 2026 to August 9, 2026. Published August 9, 2026. Refreshed weekly.

You are viewing an archived NPPES update

This page covers August 3, 2026 to August 9, 2026. View the current update.

Archived NPPES version 20260803-20260809
33,437 Records changed across 51 states and territories
13,698 Newly enumerated NPIs 41% of all changes
19,739 Updated records 59% of all changes
646 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: 90 records, 32 new and 58 updated AK 90 Alabama: 308 records, 134 new and 174 updated AL 308 Arkansas: 425 records, 259 new and 166 updated AR 425 Arizona: 714 records, 251 new and 463 updated AZ 714 California: 4,713 records, 2,161 new and 2,552 updated CA 4,713 Colorado: 818 records, 323 new and 495 updated CO 818 Connecticut: 365 records, 159 new and 206 updated CT 365 District Of Columbia: 181 records, 84 new and 97 updated DC 181 Delaware: 91 records, 28 new and 63 updated DE 91 Florida: 2,338 records, 838 new and 1,500 updated FL 2,338 Georgia: 789 records, 319 new and 470 updated GA 789 Hawaii: 115 records, 49 new and 66 updated HI 115 Iowa: 279 records, 131 new and 148 updated IA 279 Idaho: 214 records, 98 new and 116 updated ID 214 Illinois: 1,231 records, 408 new and 823 updated IL 1,231 Indiana: 689 records, 234 new and 455 updated IN 689 Kansas: 308 records, 109 new and 199 updated KS 308 Kentucky: 540 records, 163 new and 377 updated KY 540 Louisiana: 375 records, 175 new and 200 updated LA 375 Massachusetts: 754 records, 304 new and 450 updated MA 754 Maryland: 630 records, 234 new and 396 updated MD 630 Maine: 182 records, 34 new and 148 updated ME 182 Michigan: 1,266 records, 642 new and 624 updated MI 1,266 Minnesota: 589 records, 205 new and 384 updated MN 589 Missouri: 437 records, 148 new and 289 updated MO 437 Mississippi: 221 records, 96 new and 125 updated MS 221 Montana: 99 records, 43 new and 56 updated MT 99 North Carolina: 1,253 records, 424 new and 829 updated NC 1,253 North Dakota: 99 records, 45 new and 54 updated ND 99 Nebraska: 438 records, 326 new and 112 updated NE 438 New Hampshire: 101 records, 28 new and 73 updated NH 101 New Jersey: 725 records, 293 new and 432 updated NJ 725 New Mexico: 265 records, 129 new and 136 updated NM 265 Nevada: 437 records, 199 new and 238 updated NV 437 New York: 1,763 records, 725 new and 1,038 updated NY 1,763 Ohio: 1,326 records, 597 new and 729 updated OH 1,326 Oklahoma: 394 records, 179 new and 215 updated OK 394 Oregon: 446 records, 165 new and 281 updated OR 446 Pennsylvania: 1,082 records, 393 new and 689 updated PA 1,082 Rhode Island: 134 records, 43 new and 91 updated RI 134 South Carolina: 428 records, 158 new and 270 updated SC 428 South Dakota: 59 records, 18 new and 41 updated SD 59 Tennessee: 528 records, 224 new and 304 updated TN 528 Texas: 2,557 records, 995 new and 1,562 updated TX 2,557 Utah: 325 records, 124 new and 201 updated UT 325 Virginia: 704 records, 266 new and 438 updated VA 704 Vermont: 56 records, 28 new and 28 updated VT 56 Washington: 728 records, 286 new and 442 updated WA 728 Wisconsin: 440 records, 184 new and 256 updated WI 440 West Virginia: 340 records, 188 new and 152 updated WV 340 Wyoming: 48 records, 20 new and 28 updated WY 48

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 32 58 90
Alabama 134 174 308
Arkansas 259 166 425
Arizona 251 463 714
California 2,161 2,552 4,713
Colorado 323 495 818
Connecticut 159 206 365
District Of Columbia 84 97 181
Delaware 28 63 91
Florida 838 1,500 2,338
Georgia 319 470 789
Hawaii 49 66 115
Iowa 131 148 279
Idaho 98 116 214
Illinois 408 823 1,231
Indiana 234 455 689
Kansas 109 199 308
Kentucky 163 377 540
Louisiana 175 200 375
Massachusetts 304 450 754
Maryland 234 396 630
Maine 34 148 182
Michigan 642 624 1,266
Minnesota 205 384 589
Missouri 148 289 437
Mississippi 96 125 221
Montana 43 56 99
North Carolina 424 829 1,253
North Dakota 45 54 99
Nebraska 326 112 438
New Hampshire 28 73 101
New Jersey 293 432 725
New Mexico 129 136 265
Nevada 199 238 437
New York 725 1,038 1,763
Ohio 597 729 1,326
Oklahoma 179 215 394
Oregon 165 281 446
Pennsylvania 393 689 1,082
Rhode Island 43 91 134
South Carolina 158 270 428
South Dakota 18 41 59
Tennessee 224 304 528
Texas 995 1,562 2,557
Utah 124 201 325
Virginia 266 438 704
Vermont 28 28 56
Washington 286 442 728
Wisconsin 184 256 440
West Virginia 188 152 340
Wyoming 20 28 48

Most active specialties

Taxonomy classifications with the most changes nationwide.

Nurse Practitioner 3,138
Counselor 2,676
Behavior Technician 2,609
Social Worker 1,989
Internal Medicine 1,472
Student in an Organized Health Care Education/Training Program 1,310
Registered Nurse 1,092
Physician Assistant 1,065
Clinic/Center 1,049
Physical Therapist 948

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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