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Revalidation record

Avera Queen Of Peace — revalidation due TBD

TBD

NPI 1710155460 · Part A · SD · Enrollment ID O20080714000163

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.

EnrollmentStateFormDue
O20080714000163SD855ATBD
O20031229000301SD855B2023-09-30
Revalidation due
TBD
Form to file
855A

Institutional providers file CMS-855A.

CMS has published this enrollment but not the date yet.

CMS publishes only about six months ahead. If your enrollment is on a 5-year cycle (3 years for DMEPOS), your date is not public yet.

What changed, month by month

SnapshotDue date on the CMS file
2026-10TBD

Not an official CMS system. Verify before filing.

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