Revalidation record
Optumcare New Mexico Llc — revalidation due 2026-07-31
past duemay be staleNPI 1124053210 · Non-DME Part B · NM · Enrollment ID O20060302000704
From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·
This NPI has 20 enrollments. They stay separate. The detail below is the one to look at first.
| Enrollment | State | Form | Due |
|---|---|---|---|
| O20060302000704 | NM | 855B | 2026-07-31 |
| O20220201002463 | PA | 855B | TBD |
| O20220228002521 | MI | 855B | TBD |
| O20220302000600 | GA | 855B | TBD |
| O20220303000104 | AZ | 855B | TBD |
| O20220304001221 | WA | 855B | TBD |
| O20231212003887 | VA | 855B | TBD |
| O20231213001203 | CA | 855B | TBD |
| O20240214000659 | OK | 855B | TBD |
| O20240308000189 | FL | 855B | TBD |
| O20240409000257 | CO | 855B | TBD |
| O20240426000508 | TN | 855B | TBD |
| O20240513001739 | AL | 855B | TBD |
| O20240516002084 | NJ | 855B | TBD |
| O20240606000760 | OH | 855B | TBD |
| O20240617002474 | NY | 855B | TBD |
| O20241001001467 | IL | 855B | TBD |
| O20251010000770 | MA | 855B | TBD |
| O20260312000788 | MS | 855B | TBD |
| O20260505000240 | OR | 855B | TBD |
- Revalidation due
- 2026-07-31
- Form to file
- 855B
Clinics, group practices, and other organizational suppliers file CMS-855B.
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
| Snapshot | Due date on the CMS file |
|---|---|
| 2026-10 | 2026-07-31 |
Not an official CMS system. Verify before filing.
All NM revalidation dates for October 2026Where this date comes from