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Revalidation record

State University Of Iowa — revalidation due 2026-07-31

past duemay be stale

NPI 1477554814 · Non-DME Part B · WA · Enrollment ID O20200818001184

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

This NPI has 32 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
O20200818001184WA855B2026-07-31
O20201020000616CA855B2026-08-31
O20091221000403IL855B2026-09-30
O20031107000060IA855BTBD
O20140626002579SD855BTBD
O20220510000048PA855BTBD
O20230201000752VA855BTBD
O20230206003187TX855BTBD
O20230306000360FL855BTBD
O20230927002975WI855BTBD
O20231214001065NJ855BTBD
O20240108000661SC855BTBD
O20240109000130MA855BTBD
O20240307001096TN855BTBD
O20240307001678AL855BTBD
O20240314001874CT855BTBD
O20240314002768NY855BTBD
O20240403003040CO855BTBD
O20240404000204MO855BTBD
O20240404002510MI855BTBD
O20240518000402MD855BTBD
O20240614002033OR855BTBD
O20240701003498AZ855BTBD
O20240709002661UT855BTBD
O20240716002484NE855BTBD
O20240910003659DC855BTBD
O20241106000329GA855BTBD
O20241204004389MS855BTBD
O20250123001460NC855BTBD
O20250214003369NM855BTBD
O20251218002897NH855BTBD
O20251231001385KY855BTBD
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

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

Not an official CMS system. Verify before filing.

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