Effective April 1, 2026, NYNM IPA will be transitioning to an online initial credentialing application process. Please note that we will no longer be accepting PDF applications e-mailed to the Credentialing inbox.
Click HERE to access the application form.
You will need to fill out all required fields before submitting. Once your application has been reviewed, please expect to receive electronic signature requests (via PandaDoc) to execute our Participating Provider Agreement and Collaborating Physician Agreement (if applicable).
Please use our Inquiry Form if you need assistance.