Revalidation record

Avera Queen Of Peace — revalidation due TBD

TBD

NPI 1053827634 · Non-DME Part B · ND · Enrollment ID O20220725001791

From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·

This NPI has 6 enrollments. They stay separate. The detail below is the one to look at first.

Enrollment	State	Form	Due
O20220725001791	ND	855B	TBD
O20220810001343	MN	855B	TBD
O20230901003543	OH	855B	TBD
O20231003003391	AZ	855B	TBD
O20240312003621	IL	855B	TBD
O20031229000301	SD	855B	2023-09-30

Revalidation due: TBD
Form to file: 855B
Clinics, group practices, and other organizational suppliers file CMS-855B.

CMS has published this enrollment but not the date yet.

CMS publishes only about six months ahead. If your enrollment is on a 5-year cycle (3 years for DMEPOS), your date is not public yet.

What changed, month by month

Snapshot	Due date on the CMS file
2026-10	TBD

Not an official CMS system. Verify before filing.