Joining HNA is easy!

To get started as a Member of Healthcare Networks of America simply fill out the form below.

Join HNA

User Name:

Doctor's First Name:

Doctor's Last Name:

NPI#

Title:

Directory Specialty:

Address:

City:

State:

Zip Code:

Federal Tax ID Number:

Phone:

email:

Fax:

Website:

** Please submit secondary locations

Malpractice Insurance Carrier

Name:

Expiration Date:

State License

Number:

Expiration Date:

DEA Certificate (Does not apply to D.C.)

Number:

Expiration Date:

(Submit copy of Malpractice, License, and DEA Certificate)

Your Initials

By checking this box and entering my initials, I represent that I have read and understand the Terms and Conditions of my membership. I further represent that all of the information submitted on the above enrollment form is correct to the best of my knowledge.

Coupon Code:

Verification

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Or if you prefer, you can click here to sign up via downloadable form and return with fees by either fax or mail.

Mail form to: Fax form to:

Healthcare Networks of America (602) 485-3100

P.O. Box 71717

Phoenix, AZ 85050

Membership has its privileges.

As an HNA Preferred Provider you recieve complete access to all that HNA has to offer including:

• Full credentialing information and online renewals making credentialing simplified
• Higher reimbursement rates with affiliated health plans
• Access to Preferred Vendors for special promotional offers and discounts
• A resource for Patient Retention and Reputation Management
• A Member Resouce Center that is unparalleled for pertinent and up-to-date information; full of tools, forms and articles (Members only access)
• Listing in our Prefered Provider Registry.

We have developed this registry to provide

» Patient referrals
» Member to member access and referring ease
» Payers with ease in finding member physicians

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