Revalidation record
American Advanced Practice Network Pc — revalidation due 2026-06-30
past duemay be staleNPI 1790244341 · Non-DME Part B · CO · Enrollment ID O20191219002473
From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·
This NPI has 15 enrollments. They stay separate. The detail below is the one to look at first.
| Enrollment | State | Form | Due |
|---|---|---|---|
| O20191219002473 | CO | 855B | 2026-06-30 |
| O20200427001472 | NY | 855B | 2026-07-31 |
| O20200528000977 | CA | 855B | 2026-08-31 |
| O20200713002149 | DE | 855B | 2026-09-30 |
| O20200730002415 | IN | 855B | 2026-10-31 |
| O20201019002965 | VA | 855B | 2026-11-30 |
| O20201113001626 | NC | 855B | 2026-12-31 |
| O20201204001246 | TX | 855B | 2027-02-28 |
| O20210503001164 | MA | 855B | TBD |
| O20210610001490 | FL | 855B | TBD |
| O20210830000507 | GA | 855B | TBD |
| O20220425000654 | CT | 855B | TBD |
| O20220502000019 | NJ | 855B | TBD |
| O20220907003409 | KY | 855B | TBD |
| O20231003002850 | AL | 855B | TBD |
- Revalidation due
- 2026-06-30
- Form to file
- 855B
Clinics, group practices, and other organizational suppliers file CMS-855B.
CMS published a due date of 2026-06-30 (121 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 | 2026-06-30 |
Not an official CMS system. Verify before filing.
All CO revalidation dates for October 2026Where this date comes from