Revalidation record
Prohealth Oconomowoc Memorial Hospital, Inc. — revalidation due 2026-11-30
on listNPI 1497942205 · Part A · WI · Enrollment ID O20080125000448
From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·
This NPI has 2 enrollments. They stay separate. The detail below is the one to look at first.
| Enrollment | State | Form | Due |
|---|---|---|---|
| O20080125000448 | WI | 855A | 2026-11-30 |
| O20230822002431 | WI | 855B | TBD |
- Revalidation due
- 2026-11-30
- Form to file
- 855A
Institutional providers file CMS-855A.
This NPI's revalidation is due 2026-11-30 — in 32 days.
CMS listed this date in the public file. It can still move next month.
What changed, month by month
| Snapshot | Due date on the CMS file |
|---|---|
| 2026-10 | 2026-11-30 |
Not an official CMS system. Verify before filing.
All WI revalidation dates for October 2026Where this date comes from