NPPES file of Aug 9, 2026

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.

CMS NPPES, file of Aug 9, 2026; 2023 Census estimates · method

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.

NPPES records per 100,000 residents, by stateTile map of 50 states and D.C. shaded in five equal-count groups. Highest: Washington, D.C. 6,827. Lowest: Alabama 1,340.AK: 3,945 per 100,000AK3,945ME: 2,427 per 100,000ME2,427WI: 1,969 per 100,000WI1,969VT: 2,383 per 100,000VT2,383NH: 2,368 per 100,000NH2,368WA: 2,624 per 100,000WA2,624ID: 1,700 per 100,000ID1,700MT: 1,958 per 100,000MT1,958ND: 2,854 per 100,000ND2,854MN: 2,344 per 100,000MN2,344IL: 1,928 per 100,000IL1,928MI: 2,859 per 100,000MI2,859NY: 2,786 per 100,000NY2,786MA: 3,144 per 100,000MA3,144OR: 2,983 per 100,000OR2,983NV: 3,129 per 100,000NV3,129WY: 2,276 per 100,000WY2,276SD: 1,897 per 100,000SD1,897IA: 1,524 per 100,000IA1,524IN: 1,763 per 100,000IN1,763OH: 2,775 per 100,000OH2,775PA: 2,028 per 100,000PA2,028NJ: 1,783 per 100,000NJ1,783CT: 2,335 per 100,000CT2,335RI: 2,358 per 100,000RI2,358CA: 2,500 per 100,000CA2,500UT: 2,294 per 100,000UT2,294CO: 2,547 per 100,000CO2,547NE: 3,900 per 100,000NE3,900MO: 1,820 per 100,000MO1,820KY: 1,928 per 100,000KY1,928WV: 4,528 per 100,000WV4,528VA: 1,727 per 100,000VA1,727MD: 2,588 per 100,000MD2,588DE: 2,065 per 100,000DE2,065AZ: 1,706 per 100,000AZ1,706NM: 2,686 per 100,000NM2,686KS: 1,880 per 100,000KS1,880AR: 2,218 per 100,000AR2,218TN: 1,770 per 100,000TN1,770NC: 1,849 per 100,000NC1,849SC: 1,612 per 100,000SC1,612DC: 6,827 per 100,000DC6,827OK: 2,275 per 100,000OK2,275LA: 2,000 per 100,000LA2,000MS: 1,383 per 100,000MS1,383AL: 1,340 per 100,000AL1,340GA: 1,524 per 100,000GA1,524HI: 2,246 per 100,000HI2,246TX: 1,420 per 100,000TX1,420FL: 2,081 per 100,000FL2,081
NPPES records per 100,000 residents, by stateTile map of 50 states and D.C. shaded in five equal-count groups. Highest: Washington, D.C. 6,827. Lowest: Alabama 1,340.AK: 3,945 per 100,000AK3,945ME: 2,427 per 100,000ME2,427WI: 1,969 per 100,000WI1,969VT: 2,383 per 100,000VT2,383NH: 2,368 per 100,000NH2,368WA: 2,624 per 100,000WA2,624ID: 1,700 per 100,000ID1,700MT: 1,958 per 100,000MT1,958ND: 2,854 per 100,000ND2,854MN: 2,344 per 100,000MN2,344IL: 1,928 per 100,000IL1,928MI: 2,859 per 100,000MI2,859NY: 2,786 per 100,000NY2,786MA: 3,144 per 100,000MA3,144OR: 2,983 per 100,000OR2,983NV: 3,129 per 100,000NV3,129WY: 2,276 per 100,000WY2,276SD: 1,897 per 100,000SD1,897IA: 1,524 per 100,000IA1,524IN: 1,763 per 100,000IN1,763OH: 2,775 per 100,000OH2,775PA: 2,028 per 100,000PA2,028NJ: 1,783 per 100,000NJ1,783CT: 2,335 per 100,000CT2,335RI: 2,358 per 100,000RI2,358CA: 2,500 per 100,000CA2,500UT: 2,294 per 100,000UT2,294CO: 2,547 per 100,000CO2,547NE: 3,900 per 100,000NE3,900MO: 1,820 per 100,000MO1,820KY: 1,928 per 100,000KY1,928WV: 4,528 per 100,000WV4,528VA: 1,727 per 100,000VA1,727MD: 2,588 per 100,000MD2,588DE: 2,065 per 100,000DE2,065AZ: 1,706 per 100,000AZ1,706NM: 2,686 per 100,000NM2,686KS: 1,880 per 100,000KS1,880AR: 2,218 per 100,000AR2,218TN: 1,770 per 100,000TN1,770NC: 1,849 per 100,000NC1,849SC: 1,612 per 100,000SC1,612DC: 6,827 per 100,000DC6,827OK: 2,275 per 100,000OK2,275LA: 2,000 per 100,000LA2,000MS: 1,383 per 100,000MS1,383AL: 1,340 per 100,000AL1,340GA: 1,524 per 100,000GA1,524HI: 2,246 per 100,000HI2,246TX: 1,420 per 100,000TX1,420FL: 2,081 per 100,000FL2,081
NPPES records per 100,000 residents, by stateTile map of 50 states and D.C. shaded in five equal-count groups. Highest: Washington, D.C. 6,827. Lowest: Alabama 1,340.AK: 3,945 per 100,000AKME: 2,427 per 100,000MEWI: 1,969 per 100,000WIVT: 2,383 per 100,000VTNH: 2,368 per 100,000NHWA: 2,624 per 100,000WAID: 1,700 per 100,000IDMT: 1,958 per 100,000MTND: 2,854 per 100,000NDMN: 2,344 per 100,000MNIL: 1,928 per 100,000ILMI: 2,859 per 100,000MINY: 2,786 per 100,000NYMA: 3,144 per 100,000MAOR: 2,983 per 100,000ORNV: 3,129 per 100,000NVWY: 2,276 per 100,000WYSD: 1,897 per 100,000SDIA: 1,524 per 100,000IAIN: 1,763 per 100,000INOH: 2,775 per 100,000OHPA: 2,028 per 100,000PANJ: 1,783 per 100,000NJCT: 2,335 per 100,000CTRI: 2,358 per 100,000RICA: 2,500 per 100,000CAUT: 2,294 per 100,000UTCO: 2,547 per 100,000CONE: 3,900 per 100,000NEMO: 1,820 per 100,000MOKY: 1,928 per 100,000KYWV: 4,528 per 100,000WVVA: 1,727 per 100,000VAMD: 2,588 per 100,000MDDE: 2,065 per 100,000DEAZ: 1,706 per 100,000AZNM: 2,686 per 100,000NMKS: 1,880 per 100,000KSAR: 2,218 per 100,000ARTN: 1,770 per 100,000TNNC: 1,849 per 100,000NCSC: 1,612 per 100,000SCDC: 6,827 per 100,000DCOK: 2,275 per 100,000OKLA: 2,000 per 100,000LAMS: 1,383 per 100,000MSAL: 1,340 per 100,000ALGA: 1,524 per 100,000GAHI: 2,246 per 100,000HITX: 1,420 per 100,000TXFL: 2,081 per 100,000FL

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

StateRecordsPer 100,000
1California974,3152,500
2New York545,2912,786
3Florida470,4952,081
4Texas433,0131,420
5Ohio327,0422,775
6Michigan286,9262,859
7Pennsylvania262,8722,028
8Illinois241,9581,928
9Massachusetts220,1393,144
10Washington205,0362,624
11North Carolina200,3401,849
12Georgia168,0931,524
13New Jersey165,7011,783
14Maryland159,9542,588
15Colorado149,6812,547
16Virginia149,2391,727
17Minnesota134,4822,344
18Arizona126,7831,706
19Oregon126,2952,983
20Tennessee126,1181,770
21Indiana121,0001,763
22Wisconsin116,3761,969
23Missouri112,7811,820
24Nevada99,9603,129
25Oklahoma92,2192,275
26Louisiana91,4902,000
27Kentucky87,2551,928
28South Carolina86,5961,612
StateRecordsPer 100,000
29Connecticut84,4572,335
30West Virginia80,1484,528
31Utah78,3892,294
32Nebraska77,1543,900
33Alabama68,4461,340
34Arkansas68,0472,218
35New Mexico56,8012,686
36Kansas55,2691,880
37Iowa48,8801,524
38Washington, D.C.46,3516,827
39Mississippi40,6421,383
40Puerto Rico40,3471,259
41Maine33,8762,427
42Idaho33,4041,700
43New Hampshire33,1982,368
44Hawaii32,2372,246
45Alaska28,9303,945
46Rhode Island25,8482,358
47North Dakota22,3732,854
48Montana22,1851,958
49Delaware21,3122,065
50South Dakota17,4431,897
51Vermont15,4262,383
52Wyoming13,2932,276
53Guam891579
54Virgin Islands721827
55Northern Mariana Islands207437
56American Samoa193439

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