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Get a national provider identifier (npi) you must get an npi before enrolling in the medicare program. Apply for an npi in. Web during the annual enrollment period, for first coast, the mac for jurisdiction n (jn), which includes florida,. Web to become a participating provider, complete and submit the medicare participating physician or supplier agreement ( cms. Web providers in ar, co, la, ms, nm, ok, tx, indian health & veteran affairs.