Provider Credentialing

Nevada Licensure Applications

Step 1: Physician Licensure Application - Online licensure applications are available on the State Boards websites. Submit your application for licensure within 14 days of your acceptance of the employment agreement with ROC. On average, it takes 1 – 3 months to obtain a Physician (MD & DO) license in Nevada.

• Nevada State Board of Medical Examiners - MD
• Nevada State Board of Osteopathic Medicine - DO

As application processing is driven by the applicant, it is strongly recommended that you work closely with the licensure specialists at the respective State Boards throughout your licensure application and review processes. Applications for the following steps cannot be submitted until your NV Physician License has been issued.

Step 2: Controlled Substance Application – Application for licensure can be found on the Nevada State Board of Pharmacy website. Review and complete the Controlled Substance Application, as noted below. On average, it takes 2-4 weeks (after your NV Physician License has been issued) to obtain a Controlled Substance (CS) License in Nevada.

• Nevada State Board of Pharmacy
  • The application requires your live/wet signature. Print the application and complete sections 1, 3, 4, and 5, then sign where noted. Please submit this form by mail or hand deliver to the ROC Credentialing Team within 14 days of your acceptance of the employment agreement with ROC. If your NV state license is pending, leave "Practitioner License Number" and the signature “Date” blank.

Step 3: Nevada Prescription Monitoring Program Account – in conjunction with completing your CS application, you will need to create your Nevada Prescription Monitoring Program (PMP) account within 14 days of your acceptance of the employment agreement with ROC.

• Nevada Prescription Monitoring Program

Step 4: Drug Enforcement Administration Registration – An active CS license in NV must been issued to apply for Drug Enforcement Administration (DEA) Registration in NV. On average, it takes 2-4 weeks (after your CS License has been issued) to obtain a DEA Registration in Nevada.

• Physicians without a DEA Registration – an application will be submitted as soon as your NV CS License has been issued. Once issued, a copy of the DEA Registration will be submitted to the NV State Board of Pharmacy on your behalf.
• Physicians with an Existing DEA Registration - the decision to transfer an existing DEA Registration in another state to NV or apply for a new DEA Registration in NV will depend on the type of DEA Registration you currently hold.
• If you no longer need your existing DEA Registration in another state, due to the completion of a Postgraduate Training (PGT) Program or a change of status in employment:
  • Transfer’s –
    • If the DEA is a “Fee Paid” registration – it will be transferred to NV after the program/employment status has been concluded.
  • Apply -
    • If the DEA is a “Fee Exempt” registration – a new application will be submitted. The Fee Exempt DEAs are tied to the specific program/employer.

Helpful Links

• Nevada State Board of Medical Examiners - Physician Licensure Forms – link to review required application documentation and Direct Source Verifications forms.
• Nevada State Board of Osteopathic Medicine - Physician Licensure Forms – link to review required application documentation and Direct Source Verifications forms.
• Nevada State Board of Pharmacy - PMP Information – program description, enrollment, and contact information.

Credentialing Documents and Information

Step 1: Credentialing Checklist, Release, and Signature Form – Please review the below documents and submit the requested information. Once submitted, the ROC Credentialing Team will review the information submitted and request additional information and/or items as needed.

• Credentialing Checklist
• Release of Information
• Signature Form

Please submit requested documents and information as noted, either via credentialing@renoortho.com , fax, or mail.

If you have any questions regarding the instructions provided or to confirm submission of your NV Physician License Application, please contact the ROC Credentialing Team at any time.

Step 2: Malpractice Coverage – An application for Medical Professional Liability Insurance will be prepared and sent to you for your review and completion. To be considered eligible for coverage, you must an active NV Physician License. Additionally, a claim history/loss runs from your prior carriers will need to be submitted with the application. General application processing time is 3-4 weeks.

Step 3: Provider Enrollment & Payor Applications – Once all necessary information has been submitted and required licensure has been obtained, the ROC Credentialing Team will prepare and send you payor application documents that will require your signature/completion. Payor applications cannot be submitted until you have an active NV Physician License, Pharmacy, DEA, and ROC Malpractice. General application processing time is 30-120 days.

Step 4: Hospital & Surgery Center Applications – Once all necessary information has been submitted and required licensure has been obtained, the ROC Credentialing Team will request application portal access and/or applicable application documents. Additional instructions will be provided as portal access is granted. Hospital applications cannot be submitted until you have an active NV Physician License, Pharmacy, DEA, and ROC Malpractice. General application processing time is 60-90 days.

ROC Credentialing Team Contact Information

Reno Orthopedic Center

Attn: Credentialing

555 N Arlington Avenue, Reno, NV 89503

PH: 775-788-5184

Fax: 775-788-5284

credentialing@renoortho.com