Provider Enrollment | 06.06.25
Calling All Enrollment Specialists!
By Kylie Eatherton, CPCS, Kelly Carroll, MHA, BS, CPMSM, CPCS
Mark your calendars and start the countdown: July 21, 2025, is the first day when candidates can apply for the Certified Provider Enrollment Specialist (CPES) certification exam! The National Association of Medical Staff Services (NAMSS) is excited to offer the industry’s FIRST and ONLY Provider Enrollment certification! This is the moment we have all been waiting for!
Provider Enrollment has become a core function of Medical Staff Services Professionals (MSPs), and NAMSS is excited to offer the Certified Provider Enrollment Specialist (CPES) certification exam. The CPES certification offers professionals in the Provider Enrollment field an opportunity to demonstrate their skills and knowledge.
The certification was developed by and for subject matter experts actively working in the field. The examination development has been overseen and facilitated by the Certification Commission of NAMSS (CCN). The CPES certification is the final piece of the MSP puzzle.
Now, you’re probably asking yourself, “Am I a qualified candidate?”, What’s on the exam?”, and “Where can I find study materials?”
To get started, we encourage all interested candidates to view the 2025 Candidate Handbook.
Here are some key highlights:
1. Eligibility Requirements
To be eligible to sit for the CPES exam, you must:
- Be currently or have recently been employed or contracted in Provider Enrollment for at least 12 consecutive months within the last 24 months and have a total of three years of provider enrollment experience within the last five years.
2. About the Exam
The exam is designed to objectively measure your knowledge, your decision-making, and your readiness to lead in the provider enrollment field.
- Examination Format: 150 multiple-choice questions
- Duration: 3 hours
3. Exam Content Breakdown
- Enrollment (60%): Applications, payer communication, Medicare/Medicaid, delegated and non-delegated processes — the heart of what you do every day.
- Compliance and Monitoring (22%): Think revalidations, regulations, and keeping everything audit ready.
- Operations Support (18%): From updating systems to managing provider data, this is all about keeping things running like a well-oiled machine.
We are so excited for the launch of the industry’s first Provider Enrollment certification!
Register Now: Join CPES Chair Summer Bloise, MBA, CPCS, CPMSM; Kevin Fogle, CPCS, CPMSM; and Kylie Eatherton, CPCS; for a complimentary NAMSS webinar: A Conversation with CCN: CPES Certification. Register now to join us on Monday, June 23, 2025, at 2 p.m. EDT.
Visit the NAMSS CPES webpage to learn more, gather your materials, and get ready to apply on July 21, 2025. Your certification journey starts now.
Kylie Eatherton, CPCS
Kylie Eatherton, CPCS, currently serves as the director of credentialing and payer enrollment at Monument Health and the NAMSS CCN CPES Sub-Chair. She has worked for Monument Health for almost 10 years, most recently seven years in the medical services industry. Kylie has an associate of arts in early childhood education and a Bachelor of Science in public health.
Kelly Carroll, MHA, BS, CPMSM, CPCS
Kelly Carroll, MHA, BSHA, CPMSM, CPCS, currently serves as the assistant director of medical staff services at UI Health. She holds a master’s and bachelor’s degree in Health Care Administration & Leadership from the University of St. Francis and is a United States Air Force Reserve veteran.