Nurse practitioner and midwife eligibility requirements

What nurse practitioners and midwives need to do to use Medicare services.

To use Medicare services, you’ll need to apply to us to be recognised as either a nurse practitioner or midwife.

You’ll need to do this if you want to access the following services:

  • request diagnostic and pathology services
  • refer patients to services covered by Medicare
  • bill patients so they can claim a Medicare benefit or you can make a claim.

Who is eligible

To apply for recognition as a nurse practitioner or midwife, you need to meet the eligibility requirements in all of the following:

This includes being registered and endorsed by the Nursing and Midwifery Board of Australia as either an eligible:

  • nurse practitioner
  • midwife.

If you’re a nurse practitioner your registration must state both of the following:

  • profession - nurse
  • endorsement - nurse practitioner.

If you’re a midwife your registration must state both of the following:

  • profession - midwife
  • endorsement - scheduled medicines.

If you need to claim Medicare benefits

Once you’re recognised as a nurse practitioner or midwife, you can claim Medicare benefits if you meet all of the following:

  • work in private practice
  • work in a public facility that has an exemption under subsection 19(2) of the Health Insurance Act 1973
  • have a collaborative care arrangement in place.

You can find information about collaborative arrangements on the Department of Health and Aged Care website.

How to apply

To apply for your initial Medicare provider number, you’ll need to complete the Application for a Medicare provider number and/or prescriber number for a midwife or nurse practitioner form.

You can apply online for your additional Medicare provider number, like other allied health professionals.

To set up, you’ll need to create a Provider Digital Access (PRODA) account. You can do this any time, even before you get your provisional registration.

When you have your provisional registration with Ahpra you need to link your PRODA account to Health Professional Online Services (HPOS). HPOS is an online portal for health professionals to do business securely with government services.

Applying for your additional Medicare provider number

Before you apply make sure you have:

  • the location details of where you’ll be practising
  • a collaborative arrangement with a medical practitioner
  • a compatible browser - you’ll need either Google Chrome, Internet Explorer or Edge.

Read more about collaborative arrangements on the Department of Health and Aged Care website.

To apply:

  1. log on to HPOS using your PRODA account.
  2. select My Details.
  3. select My Digital Provider Number Registration.
  4. select Create a new provider location.
  5. select Next.
  6. complete the questions in the application and select submit location.

You can save your application and come back to it later. To resume your application:

  1. select My Details.
  2. select My Digital Provider Number Registration.
  3. select Continue.

The Application for a Medicare provider number and/or PBS prescriber number for a nurse practitioner or midwife form is still available. Use this only if you can’t apply online.

Applying for a PBS prescriber number

If you don’t already have a PBS prescriber number, you can apply for one as part of your online application for an additional provider number.

In the Practice Address section, select yes to the question ‘Do you want a prescriber number for prescribing Pharmaceutical Benefits Scheme medicines under the National Health Act 1953?’

If you already have a Medicare provider number and would like to apply for your prescriber number separately, use the Application for a Medicare provider number and/or PBS prescriber number for a nurse practitioner or midwife form.

What you need to know

Make sure you enter the address you’ll be practising at, not your home address. Your practice location address will be publicly available.

How to find out the outcome of your application

We’ll send you a letter via Australia Post notifying you of the outcome of your application.

Page last updated: 12 October 2023.
QC 48191