Skip to content
FonteumThe Graph

By use case

Exclusion & monitoring (self-serve)Free roster screen — no accountExclusion & sanctions screeningCredentialing & provider-data enrichmentAudit evidence & defensible programsProvider data for AI / RAGM&A & network diligence

By buyer

Compliance & riskDevelopers & AI teams

By industry

HealthcareProviders & facilitiesFederal contractingSAM · USASpending · FAPIIS

The capability layer

APIREST + bulk accessMCP serverCallable by AI agentsFHIR R4 APIBulk exportAttestation & audit packReconciliationSource-vs-source diffsEntity graphSnapshotsPoint-in-time, bitemporal

The differentiator

Coverage & sourcesThe catalogFreshnessMethodologyCare CompareFacility qualityBrowse all datasets →
Research

The dev on-ramp

DocsAPI referenceMCP — connect your agentOne-paste installFHIR sandboxLive API surfaceQuickstartStatusChangelogSDKs & integrations
Pricing
Sign inFree roster screen →Get a signed certificate →

Solutions

Exclusion & monitoring (self-serve)Exclusion & sanctions screeningCredentialing & provider-data enrichmentAudit evidence & defensible programsProvider data for AI / RAGM&A & network diligenceCompliance & riskDevelopers & AI teamsHealthcareFederal contracting

Platform

APIMCP serverFHIR R4 APIBulk exportAttestation & audit packReconciliationEntity graphSnapshots

Data

Coverage & sourcesFreshnessMethodologyCare CompareBrowse all datasets →
Research

Developers

DocsAPI referenceMCP — connect your agentFHIR sandboxQuickstartStatusChangelogSDKs & integrations
Pricing
Sign inFree roster screen →Get a signed certificate →

Fonteum · Learn · Updated 2026-06-21

What Is a CCN? CMS Certification Number Explained

  1. Home
  2. /Learn
  3. /CMS Certification Number

A CCN (CMS Certification Number) is the identifier Medicare assigns to a healthcare facility when it is certified to participate in the program. It keys facilities across CMS surveys, cost reports, and quality data — the CMS Provider of Services file alone holds 44,429 CCN-keyed facility records. A CCN identifies a facility; an NPI identifies a provider.

Source: CMS Provider of Services · Public DomainSnapshot 2026-05-07

What a CMS Certification Number is

When a facility — a hospital, skilled nursing facility, hospice, dialysis center, or home health agency — is certified to take part in Medicare, CMS assigns it a CMS Certification Number. The CCN is how CMS tracks that facility through certification, on-site surveys, cost-report filings, enforcement actions, and the public quality datasets.

The code is typically six characters. The first two digits encode the facility's state; the remaining characters carry the facility type and a sequence number, with specific numeric ranges reserved for hospitals, skilled nursing facilities, home health agencies, and other provider categories.

CCN vs. NPI

CCN — facility

~6 characters. Assigned by CMS at certification. Keys facility-level survey, cost-report, and quality data. State-coded in the first two digits.

NPI — provider

10 digits. Assigned through NPPES. The universal identifier in HIPAA transactions for any individual or organizational provider.

A facility typically holds both. The National Provider Identifier explainer covers the NPI side; this page covers the certification side.

Other names you will see for the CCN

CCN— current standard: CMS Certification Number
OSCAR number— legacy: Online Survey, Certification & Reporting
Medicare provider number— the older everyday name for the same code

Older CMS files and references use these names interchangeably. They all point to the same facility identifier now standardized as the CCN.

CCN as the facility join key

The CCN is the backbone that links a facility across every CMS dataset. Figures below are aggregate, each from a named CMS file.

44,429
CCN-keyed facility records in the Provider of Services file
CMS POS · 2026-05-07
26,250
active CCN facilities (18,179 terminated)
CMS POS · 2026-05-07
47,017
CCN-keyed facilities across five Care Compare families
CMS Care Compare · 2026-05-07

Those five Care Compare families: 14,699 nursing homes, 5,426 hospitals, 12,392 home health agencies, 6,943 hospices, and 7,557 dialysis facilities — each keyed on its CCN.

Finding a facility's CCN

CMS publishes facility quality and survey data keyed on the CCN, and the number appears on a facility's Care Compare record. Fonteum organizes Medicare-certified facilities by type and state, with each field stamped with its CMS source and snapshot date.

Browse certified facilities

Every Medicare-certified facility type — nursing homes, hospitals, hospices, dialysis centers, home health agencies — organized by state, each record traced to its CMS source.

Care Compare hub →

Frequently asked questions

What is a CCN (CMS Certification Number)?
A CCN is the identifier the Centers for Medicare & Medicaid Services assigns to a healthcare facility when it is certified to participate in Medicare. It identifies the facility — a hospital, nursing home, hospice, dialysis center, or home health agency — across CMS systems, surveys, cost reports, and quality datasets.
How many digits is a CCN?
A CCN is typically a 6-character code. The first two digits identify the state; the remaining characters encode the facility type and a sequence number, with certain ranges reserved for specific provider categories such as hospitals, skilled nursing facilities, and home health agencies.
What is the difference between a CCN and an NPI?
A CCN identifies a certified facility to Medicare for certification, survey, and payment purposes. An NPI is the universal 10-digit identifier for any provider or organization in HIPAA transactions. A single facility usually has both: an NPI for billing and a CCN for Medicare certification. The two are linked but assigned by different systems.
Is a CCN the same as the Medicare provider number or OSCAR number?
Effectively yes. The CCN replaced the older OSCAR (Online Survey, Certification, and Reporting) number and the Medicare Provider Number. Many CMS files and older references still call it the provider number or OSCAR number, but they refer to the same facility identifier now standardized as the CMS Certification Number.
Which facilities have a CCN?
Medicare-certified facilities of every type carry a CCN: hospitals, skilled nursing facilities, hospices, dialysis centers, home health agencies, ambulatory surgical centers, and more. The CMS Provider of Services file holds 44,429 facility records keyed this way, 26,250 of them active.
How can I look up a facility by its CCN?
CMS publishes facility data — quality ratings, survey deficiencies, cost reports — keyed on the CCN. Fonteum's Care Compare hub organizes Medicare-certified facilities by type and state, with each facility's record traced to its CMS source and snapshot date so any figure can be checked against the federal release.

Related

  • Care Compare facility hub — every Medicare-certified facility type by state, keyed on the CCN.
  • The National Provider Identifier explained — the provider-level identifier that complements the facility CCN.
  • What a skilled nursing facility is — one of the facility types a CCN identifies.
  • CCN glossary entry — the quick-reference definition and related terms.
  • NPI lookup tool — search providers and organizations by NPI or name.
Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer. Review covered terminology accuracy, the CCN/NPI distinction, and the scope of the CMS facility-identifier framework. Does not constitute legal or compliance advice.
FonteumResearch Bureau. “What Is a CCN? CMS Certification Number Explained.” 2026-06-21. Sources: CMS Provider of Services file and CMS Care Compare datasets — all U.S. Government Works. Available at https://fonteum.com/learn/ccn-cms-certification-number.

On this page

  • What a CCN is
  • CCN vs. NPI
  • Other names for the CCN
  • CCN in the data
  • Finding a facility's CCN
  • FAQ

The substrate, by the numbers

9.2Mgraph entitiesProviders, organizations, owners, and facilities
15.7Mlinked identifiersNPIs, CCNs, LEIs and more, resolved to entities
5Mgraph edgesSource-attested relationships between entities
44federal source familiesDistinct CMS, OIG, HRSA, FDA and peer datasets
35dataset pagesCitable, downloadable /data catalog pages
70reproducible studiesEach shipping the SQL behind its figures

Built on the authoritative federal record

The primary sources, named on every page.

These are the federal agencies whose public datasets Fonteum ingests and attributes — the issuing authorities, not customers or partners. Every figure on the site links back to one of them.

  • CMS
  • HHS-OIG
  • HRSA
  • FDA
  • NLM
  • NUCC
  • Census
  • BLS
  • BEA

See the full source registry, with license and refresh cadence for each →

Reproducible by design

Every figure traces to its federal source.

14-tuple provenance

Every rendered fact ties to a source URL, dataset ID, snapshot date, row key, and SHA-256 — the full chain-of-custody record.

Reproducible SQL

Each study ships the exact query behind its figures, run against the cited federal snapshot. Re-run it yourself.

Daily count checks

Published counts are checked against the upstream federal datasets on a daily cadence, with drift logged.

Named medical review

Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

Read the full provenance and attestation methodology →

Two doors

Use the free API and open data

Query providers, facilities, sanctions, and quality scores — each field carrying its federal source. Self-serve, no call to start.

Explore the API →Browse the data catalog →

Talk to us

Managed pilots, enterprise terms, and audit-ready, signed attestation packages for compliance, risk, and research teams.

Talk to us →
Fonteum
Platform
Platform overviewAPIMCP serverFHIR R4 APIBulk exportAttestation & audit packReconciliationEntity graphSnapshots
Solutions
All solutionsExclusion & sanctions screeningCredentialing & enrichmentAudit evidenceProvider data for AI / RAGM&A & network diligenceCompliance & riskDevelopers & AI teams
Data & sources
Coverage & sourcesBrowse all datasetsState Medicaid exclusionsFreshnessMethodologyCare CompareSanctionsOwnershipStaffingDeficienciesSpecial Focus Facilities
Federal contracting
OverviewAwards during active exclusionFederal debarment scorecardProcurement questionsContractor lookup8(a) certification guide
Developers
Developer hubDocsAPI referenceQuickstartStatusChangelogSDKs & integrationsWebhooks
Research & guides
Research hubGuidesHealthcare provider dataExclusion & sanctions screeningProvider credentialing dataHealthcare data for AIHospital margin gapProvider access gapsGlossaryComparisonsCitationsWhy Fonteum
Company
AboutPressCustomersPricingContactEditorial policyCorrections
Trust & legal
TrustTrust markQualitySecurityPrivacy policyTerms of serviceAPI & MCP termsMedical disclaimer

Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

© 2026 Fonteum LLC. All rights reserved.

·hello@fonteum.com

The U.S. healthcare graph AI can cite — every fact carries its source.

Every fact Fonteum serves carries a signed, re-checkable trust mark — source, as-of date, and an Ed25519 signature travel with the data. Re-check any fact at fonteum.com/verify · the trust-mark standard (W3C Verifiable Credentials 2.0, C2PA-aligned).
Request access→