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Revalidation record

Florida Atlantic University — revalidation due 2026-07-31

past duemay be stale

NPI 1093026619 · Part A · FL · Enrollment ID O20210715001845

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

This NPI has 3 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
O20210715001845FL855A2026-07-31
O20040511001511FL855BTBD
O20240614003196FL855ATBD
Revalidation due
2026-07-31
Form to file
855A

Institutional providers file CMS-855A.

CMS published a due date of 2026-07-31 (90 days ago). We cannot tell from the file whether you completed this.

CMS may deactivate billing privileges when a full and accurate application isn't received within 90 days (42 CFR 424.540(a)(3)). Claims are denied while deactivated. Reactivation is effective the day CMS receives your application — it is not retroactive.

What changed, month by month

SnapshotDue date on the CMS file
2026-102026-07-31

Not an official CMS system. Verify before filing.

All FL revalidation dates for October 2026Where this date comes from