The CMS NPPES registry recorded 61 NPI deactivations within the Nurses segment for the week of July 20-26, 2026. Of these, Hipa.ai's name cache retained names for 60 providers before their records were scrubbed by CMS, with one record having its identifying information removed. The majority of deactivations, 55, were for individual practitioners, while 5 were for organizations. New York led all states, accounting for 9 deactivations, or 15% of the total.
Geographic Deactivation Trends
Geographically, New York experienced the highest number of NPI deactivations for nurses this week, with 9 records, representing 15% of the national total. California followed with 5 deactivations, making up 8%. Arizona recorded 4 deactivations, or 7%. Several states each saw 3 deactivations, including Pennsylvania, Tennessee, South Carolina, Texas, and Indiana, each accounting for 5% of the total. This distribution suggests deactivations are occurring across various regions, often reflecting states with larger healthcare workforces and higher overall NPI registration volumes.
Key Nurse Taxonomies Deactivated
An analysis of the primary taxonomies among the named deactivated records reveals a mix of general and specialized nursing roles. Registered Nurses accounted for the largest single group, with 11 deactivations, or 18%. Nurse Practitioners, Family Nurse Practitioners, Adult Health Nurse Practitioners, and Licensed Practical Nurses each saw 7 deactivations, collectively representing a significant portion of the week's total at 12% each. Certified Registered Nurse Anesthetists (CRNAs) also contributed notably with 6 deactivations, or 10%. Psychiatric/Mental Health Nurse Practitioners had 3 deactivations, making up 5%. Other specialized roles, such as Wound Care Registered Nurse, Home Health Registered Nurse, and Psychiatric/Mental Health Registered Nurse, each had 2 deactivations, or 3%. This diversity in deactivated taxonomies reflects the broad spectrum of roles within the nursing profession.
Contextualizing NPI Deactivations
NPI deactivations are an administrative function of the CMS NPPES registry and do not inherently indicate adverse actions. Such status changes can occur for various reasons, including a provider retiring, changing their practice, consolidating multiple NPIs, or having their record retired for clerical purposes. As the registry continues to age and the healthcare workforce experiences natural churn, NPI deactivations are a regular occurrence, reflecting ongoing maintenance of the national provider identifier database rather than necessarily a reduction in the active workforce.
