Application for a Medicare provider number and/or prescriber number for a nurse practitioner or midwife form (HW088)

Use this form to apply for an initial or additional Medicare Australia provider number or PBS prescriber number if you are an eligible midwife or nurse practitioner.

You must download our forms and fill them in so they are processed quickly. You can also electronically sign some of our forms. We have help available if you use assistive technology or need an interpreter.

Download and complete the Application for a Medicare provider number and/or prescriber number for a nurse practitioner or midwife form.

You must be an eligible midwife or nurse practitioner under Section 84AAF/84AAJ of the National Health Act 1953 to apply for a PBS prescriber number.

Page last updated: 6 December 2024.
QC 20376