Revalidation record
Baker Community Health Center Inc — revalidation due 2025-12-31
past duemay be staleNPI 1396807319 · Non-DME Part B · AZ · Enrollment ID O20190129003939
From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·
This NPI has 29 enrollments. They stay separate. The detail below is the one to look at first.
| Enrollment | State | Form | Due |
|---|---|---|---|
| O20190129003939 | AZ | 855B | 2025-12-31 |
| O20190201002544 | OR | 855B | 2025-12-31 |
| O20190206002671 | MO | 855B | 2026-01-31 |
| O20190206003357 | CA | 855B | 2026-02-28 |
| O20190214001534 | TX | 855B | 2026-02-28 |
| O20190215000652 | PA | 855B | 2026-03-31 |
| O20190219001227 | MS | 855B | 2026-04-30 |
| O20190220002431 | OH | 855B | 2026-05-31 |
| O20190222000125 | MA | 855B | 2026-05-31 |
| O20190222001484 | IL | 855B | 2026-06-30 |
| O20190227000778 | CO | 855B | 2026-06-30 |
| O20190228000200 | RI | 855B | 2026-07-31 |
| O20190311001589 | NC | 855B | 2026-08-31 |
| O20190311002541 | TN | 855B | 2026-09-30 |
| O20190318000272 | SC | 855B | 2026-10-31 |
| O20070728000111 | FL | 855B | 2027-02-28 |
| O20190206001923 | KS | 855B | TBD |
| O20190318001931 | MI | 855B | TBD |
| O20190327002885 | GA | 855B | TBD |
| O20190829000103 | CT | 855B | TBD |
| O20191003002499 | NY | 855B | TBD |
| O20240805004198 | AL | 855B | TBD |
| O20240828001228 | MT | 855B | TBD |
| O20240913000213 | ID | 855B | TBD |
| O20250128002247 | UT | 855B | TBD |
| O20250130003226 | NH | 855B | TBD |
| O20250318000350 | NJ | 855B | TBD |
| O20190312003125 | VA | 855B | 2024-03-31 |
| O20190130002431 | HI | 855B | 2024-09-30 |
- Revalidation due
- 2025-12-31
- Form to file
- 855B
Clinics, group practices, and other organizational suppliers file CMS-855B.
CMS published a due date of 2025-12-31 (303 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 | 2025-12-31 |
Not an official CMS system. Verify before filing.
All AZ revalidation dates for October 2026Where this date comes from