Screen Label

Required

Min/Max Length

Description

Notes

ID

Y

1/30

A combination of numbers and/or letters assigned by the customer to help identify a Provider in searches. This can also be auto assigned within Aerial when adding a Provider to the system.

If you choose to use Auto Assign ID, the ID field will become disabled. You can only select one.

NPI

N

10

National Provider Identifier is a unique 10-digit number assigned to a US health care provider by the Centers for Medicare and Medicaid Services (CMS).

Last Name

Y

1/35

Legal last name of Provider

First Name

Y

1/35

Legal first name of Provider

Middle Name

N

1/35

Legal middle name of Provider

Prefix

N

1/10

A word or group of letters placed before a name i.e. Dr.

Suffix

N

1/10

Any element of letters that follow a person’s surname and provide additional information i.e. Jr. or Sr.

Web Site

N

1/200

Website affiliated with Provider and/or their practice

Facility Name

Y

1/60

Name of Facility where Provider practices

This option is available when Provider type selected is Facility

Group Name

Y

1/60

Group name that the Provider is affiliated with.

This option is available when Provider type selected is Provider Group

Address 1

Y

1/60

Address where Provider practices

Address 2

N

1/60

Option to add a second address of record

Address 3

N

1/60

Option to add a third address of record

City

Y

1/70

City where Provider practices

Zip Code

Y

1/10

Assigned ZIP Code of city

Phone Number

Y

1/10

Phone number of Provider office

Extension

N

1/5

Extension specific to the Provider

Email Address

Y

1/200

Business email address for the provider