Apply to Medicin Provider Network

Step 1 of 6

Your credentials

Enter your NPI — we'll auto-verify it against the federal NPPES registry and fill in your name, role, and practice info.

NPI Number (10 digits, starts with 1 for individual)

✓ Verified via NPPES

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First Name

Last Name

Role

Specialty / Focus

Step 2 of 6

Where you're licensed

Check every state where you hold an active, unrestricted license. Patients only get routed to you in these states. Compact licenses (eNLC for NPs) are strong force multipliers.

DEA Number (optional — only if you plan to prescribe controlled substances)

Step 3 of 6

State compliance

Practice authority varies by state. We need to confirm you meet the requirements.

Step 4 of 6

Malpractice coverage

Non-negotiable: active $1M/$3M telehealth-compatible coverage before your first call. Your own policy, your employer's (if it covers telehealth moonlighting), or your group's. Don't have coverage yet? See the FAQ for $40–75/month options.

Insurance Carrier

Policy Number

Expires

I attest that I carry active professional liability insurance with minimum limits of $1M per occurrence / $3M aggregate, that it covers telehealth services, and that it is in force as of today. I understand that misrepresentation is grounds for immediate termination and I accept personal liability for any resulting claims.

Step 5 of 6

How we reach you

Your login email and the phone we'll bridge call legs to. These stay private from patients — every call routes through our encrypted bridge.

Email (this becomes your login)

Phone (we bridge calls to this number)

Availability pattern

Hours per week (estimate)

How did you hear about Medicin? (optional)

Step 6 of 6

Read and sign

Three quick checkboxes. You're not submitting anything to a bank or signing a binding contract yet — you'll set up payouts with Stripe after we approve your credentials.

I am applying as an independent contractor, not an employee of Medicin.io LLC. I set my own hours, use my own EMR, carry my own insurance, and bill my own taxes. I have read and agree to the Provider Agreement. I have read and agree to the HIPAA Business Associate Agreement.

What happens next: We verify your NPI, state license, and malpractice carrier (usually within one business day). Once approved, you'll get an email with your login link and instructions to set up Stripe payouts.

Application received

We'll verify your credentials and get back to you at your email within one business day.

What happens next

We verify your NPI against NPPES (instant)
We look up your state license in the relevant state board databases
We confirm your malpractice carrier is legitimate
You get an email with your login link + Stripe payout setup
You toggle online on the dashboard and start taking calls

Join the provider network