Revalidation record
St Bernards Physician Clinics Inc — revalidation due 2026-08-31
past duemay be staleNPI 1780546051 · Non-DME Part B · AR · Enrollment ID O20210810001875
From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·
This NPI has 16 enrollments. They stay separate. The detail below is the one to look at first.
| Enrollment | State | Form | Due |
|---|---|---|---|
| O20210810001875 | AR | 855B | 2026-08-31 |
| O20230105000547 | MO | 855B | TBD |
| O20260324002284 | NM | 855B | TBD |
| O20260325001048 | CO | 855B | TBD |
| O20260326002461 | TX | 855B | TBD |
| O20260406000948 | TN | 855B | TBD |
| O20260406003702 | FL | 855B | TBD |
| O20260415000088 | NH | 855B | TBD |
| O20260415000189 | MA | 855B | TBD |
| O20260417003029 | UT | 855B | TBD |
| O20260506001364 | IA | 855B | TBD |
| O20260518001398 | AZ | 855B | TBD |
| O20260518001667 | CA | 855B | TBD |
| O20260625001422 | NV | 855B | TBD |
| O20260629004404 | WA | 855B | TBD |
| O20260703000868 | DC | 855B | TBD |
- 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
| Snapshot | Due date on the CMS file |
|---|---|
| 2026-10 | 2026-08-31 |
Not an official CMS system. Verify before filing.
All AR revalidation dates for October 2026Where this date comes from