Credentialing and enrollment

Read about important COVID-19 Credentialing Updates.

If you are not already contracted:

HealthPartners credentialing program supports the selection and retention of highly qualified and competent professional staff to meet our member's health care needs.

Individuals are credentialed when they apply for participation in a HealthPartners network and at least every three years thereafter.

Provider Data Profiles is an easy way to manage all your locations and practitioners:

Contracted provider groups can make additions and updates to location and practitioner listings using the online Provider Data Profiles application. This tool offers very specific profile information you can review, add, and update:

  • Locations: addresses, appointment phone numbers, services, hours, and more
  • Practitioner: credentialed information, specialties, personal profiles, affiliated clinics and hospitals and more
  • Make your changes online and save them as a PDF to submit to other parties!

Log in to manage your profiles. If you don’t have a Provider portal user account or the Provider Data Profiles application, contact your delegate.

Credentialing with HealthPartners

When a practitioner joins a HealthPartners contracted clinic, the practitioner or clinic must submit a credentialing application.

ApplySmartTM system
HealthPartners uses the ApplySmartTM system. All MN-based medical clinics are required to use ApplySmartTM for submission of initial credentialing applications. Clinics in other states may also use ApplySmartTM.

Log into ApplySmart to submit your credentialing application

Apply by fax or email

It is recommended that an application be submitted at least 90 days prior to employment date. Practitioners may not see HealthPartners members and will not appear in directories or in any Member Service resources until the credentialing process is completed and the application is approved.

Add or change currently credentialed practitioner to a new clinic. Options include:

Check if a practitioner is currently credentialed with HealthPartners:

How to enroll non-credentialed practitioner types?

Do I need to inform HealthPartners if I leave my clinic?

It is imperative that HealthPartners be notified when a practitioner leaves a contracted clinic.

It is recommended to use secured, encrypted email service to send private and protected information via email.

How long does the credentialing process take?

The process can vary depending on completeness of the application, whether additional information needs to be obtained from the practitioner, and whether the practitioner meets all HealthPartners credentialing criteria.

Practitioners will receive written notification once their application has been approved.

You can check if a practitioner has been approved by:

Submission Information

Practitioner Types Credentialed by HealthPartners

Practitioner Type/Title Practitioner Type/Title Explanation
ADT Advanced Dental Therapist
APRN Advanced Practice Registered Nurse
(all Nurse Practitioner types except CRNA)
BCBA Board Certified Behavioral Analyst (WI Only)
CCDC II Certified Chemical Dependency Counselor II (SD only)
CCDC III Certified Chemical Dependency Counselor III (SD only)
CICSW Certified Independent Clinical Social Worker (WI only)
CMFT Certified Marriage and Family Therapist (Nebraska Only)
CNM Certified Nurse Midwife
CNP Certified Nurse Practitioner
CNS Clinical Nurse Specialist
CPC Certified Professional Counselor (ND/SD/WI only)
CSAC Clinical Substance Abuse Counselor (Must also be IndCS or INTCS)
CSW-PIP Clinical Social Worker in Private Independent Practice (SD only)
DDS Dentist
DMD Dentist
DO Doctor of Osteopathy
DPM Doctor of Podiatric Medicine
IntCS, CSAC Intermediate Clinical Supervisor,
Clinical Substance Abuse Counselor (WI only)
IndCS, CSAC Independent Clinical Supervisor,
Clinical Substance Abuse Counselor (WI only)
LAC Licensed Addiction Counselor (ND & SD only)
LADC Licensed Alcohol and Drug Counselor
LCPC Licensed Clinical Professional Counselor (IL only)
LCSW Licensed Clinical Social Worker (WI only)
LICSW Licensed Independent Clinical Social Worker
LISW Licensed Independent Social Worker (IA only)
LMFT Licensed Marriage and Family Therapist
LMHC Licensed Mental Health Counselor
LP Licensed Psychologist
LPC Licensed Professional Counselor (Must be able to practice independently)
LPC-MH Licensed Professional Counselor Mental Health (SD only)
LPCC Licensed Professional Clinical Counselor (ND and MN only)
LTM Licensed Traditional Midwife (MN only)
MBBCH Bachelor of Medicine and Bachelor of Surgery
MBBS Bachelor of Medicine and Bachelor of Surgery
MTM (PharmD, RPH) Medication Therapy Management Pharmacist
MD Physician
NP Nurse Practitioner
OD Doctor of Optometry
PA-C Physician Assistant Certified

Note: This list is subject to change

Non-Credentialed Practitioners

HealthPartners does not credential the following practitioner types, but they may need to be enrolled. See the "About Credentialing" Tab for further information.

  • Acupuncturists
  • Anesthesiologists (unless practicing pain management in a clinic setting)
  • Audiologist
  • Certified Genetic Counselors
  • Certified Registered Nurse Anesthetists
  • Certified Registered Nurse First Assistants
  • Critical Care Medicine
  • Critical Care Surgery
  • Dental Therapists
  • Pediatric Critical Care
  • ER Practitioners (unless also practicing in a clinic setting)
  • Interpreters
  • Neonatologists (unless also practicing in a clinic setting)
  • Neonatal Nurse Practitioners
  • Nutritionists
  • Occupational Therapists
  • Hospital-based OB/Gyn (contracted only to cover L&D call schedule)
  • Pathologists
  • Physical Therapists
  • Radiologists (except Radiation Oncologists)
  • Registered Dieticians
  • Registered Nurse
  • Speech Pathologists

Note: This list is subject to change

The HealthPartners Credentialing Plan describes the HealthPartners Credentialing Program. The purpose of the Credentialing Program is to support the systematic approach to credentialing within HealthPartners. Specific objectives of the Plan include:

  • Setting forth the criteria to be used in assessing the qualifications of applicants seeking initial or on-going association with HealthPartners.
  • Establishing the processes for verification and evaluation of a practitioner's credentials.
  • Establishing the processes for action if a practitioner's credentials do not meet the established minimum criteria.

Practitioner's Rights

Under HealthPartners Credentialing Plan, practitioners applying for initial participation or on-going participation have the following rights:

  1. The right to review the information submitted in support of their credentialing applications. Practitioners may call the HealthPartners Credentialing Service Bureau at (952) 883-5755 to arrange for a time to review their credentialing file. Practitioners are not allowed to review references or recommendations or other information that is peer review protected or otherwise protected by state or federal law.
  2. The right to correct erroneous information submitted by other sources.
    During the review process, credentialing staff will make note of any substantial discrepancies between the information reported by the practitioner and information obtained through the credentialing process. If a substantial discrepancy is identified, the practitioner is notified in writing of the discrepancy. The practitioner is given the opportunity to submit in writing, within 10 days, any corrections of erroneous information obtained from other sources or explanations for such discrepancies.
  3. The right to be informed, upon request, of the status of their credentialing or recredentialing application. Practitioners may call the HealthPartners Credentialing Service Bureau at (952) 883-5755 and ask for the status of their credentialing application.