Confirm your identity with your NPI and phone number, then complete the information Freely needs to review your profile.
Step 1 Completion0%
1 Verify Your Identity
Your NPI confirms your provider identity against the NPPES/CMS registry, and phone verification confirms direct access to you. Freely reviews screening and marketplace readiness separately.
Prescribing authority and malpractice coverage readiness. Enter "N/A" for DEA if you don't prescribe; board certification helps Freely match you to the right opportunities.
Format: 1 or 2 letters followed by 7 digits. Enter N/A if you do not prescribe.
Yes
No
Pick the one that describes your coverage today. Choosing a new option replaces the previous one.
Yes, I have my own
Through another company
Willing to join contracted company
No, but willing to pay
No
4 Practice Address
I operate under a business entity (LLC, PC, PLLC, etc.)
Freely contracts with your entity and reports 1099 income to it. If you contract and get paid personally, turn this off and skip the fields below.
🔒 Encrypted. Used for 1099 reporting only.
Entity Address Optional
Same as practice address
Leave these blank and Freely uses the practice address you entered above.