Top states by healthcare provider count
California has the most provider records in the federal registry, 974,315, ahead of New York with 545,291; Wyoming has the fewest of the 50 states and D.C., 13,293. The ten largest states hold 54.1% of all 7,327,918 records.
A record counts where a clinician lists a practice address, active or not, and may be an office that bills rather than where patients are seen. Raw counts track population, so the map shows records per resident instead.
Records per 100,000 residents
- 1,340–1,769
- 1,770–1,999
- 2,000–2,343
- 2,344–2,774
- 2,775 and up
Source: CMS NPPES individual records by practice address, file of Aug 9, 2026; 2023 Census estimates. 50 states and D.C.: 2,176 per 100,000.
All 56 states and territories, by provider count
| State | Records | Per 100,000 |
|---|---|---|
| 1California | 974,315 | 2,500 |
| 2New York | 545,291 | 2,786 |
| 3Florida | 470,495 | 2,081 |
| 4Texas | 433,013 | 1,420 |
| 5Ohio | 327,042 | 2,775 |
| 6Michigan | 286,926 | 2,859 |
| 7Pennsylvania | 262,872 | 2,028 |
| 8Illinois | 241,958 | 1,928 |
| 9Massachusetts | 220,139 | 3,144 |
| 10Washington | 205,036 | 2,624 |
| 11North Carolina | 200,340 | 1,849 |
| 12Georgia | 168,093 | 1,524 |
| 13New Jersey | 165,701 | 1,783 |
| 14Maryland | 159,954 | 2,588 |
| 15Colorado | 149,681 | 2,547 |
| 16Virginia | 149,239 | 1,727 |
| 17Minnesota | 134,482 | 2,344 |
| 18Arizona | 126,783 | 1,706 |
| 19Oregon | 126,295 | 2,983 |
| 20Tennessee | 126,118 | 1,770 |
| 21Indiana | 121,000 | 1,763 |
| 22Wisconsin | 116,376 | 1,969 |
| 23Missouri | 112,781 | 1,820 |
| 24Nevada | 99,960 | 3,129 |
| 25Oklahoma | 92,219 | 2,275 |
| 26Louisiana | 91,490 | 2,000 |
| 27Kentucky | 87,255 | 1,928 |
| 28South Carolina | 86,596 | 1,612 |
| State | Records | Per 100,000 |
|---|---|---|
| 29Connecticut | 84,457 | 2,335 |
| 30West Virginia | 80,148 | 4,528 |
| 31Utah | 78,389 | 2,294 |
| 32Nebraska | 77,154 | 3,900 |
| 33Alabama | 68,446 | 1,340 |
| 34Arkansas | 68,047 | 2,218 |
| 35New Mexico | 56,801 | 2,686 |
| 36Kansas | 55,269 | 1,880 |
| 37Iowa | 48,880 | 1,524 |
| 38Washington, D.C. | 46,351 | 6,827 |
| 39Mississippi | 40,642 | 1,383 |
| 40Puerto Rico | 40,347 | 1,259 |
| 41Maine | 33,876 | 2,427 |
| 42Idaho | 33,404 | 1,700 |
| 43New Hampshire | 33,198 | 2,368 |
| 44Hawaii | 32,237 | 2,246 |
| 45Alaska | 28,930 | 3,945 |
| 46Rhode Island | 25,848 | 2,358 |
| 47North Dakota | 22,373 | 2,854 |
| 48Montana | 22,185 | 1,958 |
| 49Delaware | 21,312 | 2,065 |
| 50South Dakota | 17,443 | 1,897 |
| 51Vermont | 15,426 | 2,383 |
| 52Wyoming | 13,293 | 2,276 |
| 53Guam | 891 | 579 |
| 54Virgin Islands | 721 | 827 |
| 55Northern Mariana Islands | 207 | 437 |
| 56American Samoa | 193 | 439 |
Source: CMS National Plan and Provider Enumeration System (NPPES), individual records by practice address, file of Aug 9, 2026 (cms.gov); population from U.S. Census Bureau 2023 estimates (census.gov). Territories without a Census estimate show n/a.
Reading the ranking
The count is where clinicians register a practice address. Telehealth clinicians licensed in several states are counted once, at the address on their record, and a large state can still have shortage areas: HRSA designates them county by county in its shortage area finder.
To check one clinician, find the NPI in the NPI lookup and confirm the license on the state board search.
Common questions
Which state has the most healthcare providers?
California, with 974,315 NPPES records at a practice address in the state, followed by New York with 545,291.
Which state has the most providers per resident?
Washington, D.C., with 6,827 records per 100,000 residents; Alabama has the fewest, 1,340. The 50 states and D.C. together have 2,176.
Does a record mean an active clinician?
Not always. A record counts where a clinician lists a practice address in NPPES, active or not, and the address can be an office that bills rather than where patients are seen. Verify any individual with the state board.
More rankings
- Top specialties by provider count
The most-used taxonomy codes in the registry.
- Specialty NPI changes
Which specialties added the most new NPIs.
- All states
Every state's providers by specialty and city.