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Revalidation record

Copilotiq Pc — revalidation due 2026-08-31

past duemay be stale

NPI 1316527203 · Non-DME Part B · TN · Enrollment ID O20210825002791

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

This NPI has 15 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
O20210825002791TN855B2026-08-31
O20220225000009FL855BTBD
O20220322001910GA855BTBD
O20220603000759NJ855BTBD
O20220630001914DC855BTBD
O20220701001200TX855BTBD
O20220805002706AL855BTBD
O20230112003014NC855BTBD
O20230113000447SC855BTBD
O20230201000886OH855BTBD
O20230202000354WA855BTBD
O20230913002389PA855BTBD
O20230922000452IN855BTBD
O20240315000656KY855BTBD
O20260624001706IL855BTBD
Revalidation due
2026-08-31
Form to file
855B

Clinics, group practices, and other organizational suppliers file CMS-855B.

CMS published a due date of 2026-08-31 (60 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
2026-102026-08-31

Not an official CMS system. Verify before filing.

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