Revalidation record
Snf Wound Care — revalidation due 2026-09-30
past duemay be staleNPI 1114393311 · Non-DME Part B · FL · Enrollment ID O20210329001973
From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·
This NPI has 28 enrollments. They stay separate. The detail below is the one to look at first.
| Enrollment | State | Form | Due |
|---|---|---|---|
| O20210329001973 | FL | 855B | 2026-09-30 |
| O20151006000251 | CA | 855B | TBD |
| O20210405000613 | WA | 855B | TBD |
| O20210407001985 | TX | 855B | TBD |
| O20210414001099 | GA | 855B | TBD |
| O20210625000185 | NV | 855B | TBD |
| O20210920002198 | MI | 855B | TBD |
| O20220110000461 | WI | 855B | TBD |
| O20220204001180 | CO | 855B | TBD |
| O20220802001366 | OH | 855B | TBD |
| O20230117000474 | DE | 855B | TBD |
| O20230418000542 | ME | 855B | TBD |
| O20230511003307 | DC | 855B | TBD |
| O20231011003047 | NH | 855B | TBD |
| O20231219001806 | AZ | 855B | TBD |
| O20240209003930 | AR | 855B | TBD |
| O20240213004826 | NM | 855B | TBD |
| O20241030002972 | OR | 855B | TBD |
| O20241104002197 | AK | 855B | TBD |
| O20241121004232 | KY | 855B | TBD |
| O20241202002340 | LA | 855B | TBD |
| O20250219000433 | WY | 855B | TBD |
| O20250515001024 | IL | 855B | TBD |
| O20250610001114 | SC | 855B | TBD |
| O20250805000686 | TN | 855B | TBD |
| O20250827004364 | NE | 855B | TBD |
| O20260326000614 | MO | 855B | TBD |
| O20260327003801 | CT | 855B | TBD |
- Revalidation due
- 2026-09-30
- Form to file
- 855B
Clinics, group practices, and other organizational suppliers file CMS-855B.
CMS published a due date of 2026-09-30 (29 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
| Snapshot | Due date on the CMS file |
|---|---|
| 2026-10 | 2026-09-30 |
Not an official CMS system. Verify before filing.
All FL revalidation dates for October 2026Where this date comes from