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Revalidation record

Access Telecare California Pc — revalidation due 2026-06-30

past duemay be stale

NPI 1861959959 · Non-DME Part B · NJ · Enrollment ID O20200527000142

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

This NPI has 21 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
O20200527000142NJ855B2026-06-30
O20200706002640FL855B2026-07-31
O20201216001815OR855B2026-09-30
O20210330001652MA855B2026-10-31
O20220503002240PA855BTBD
O20231027001581VA855BTBD
O20231027001748WV855BTBD
O20231031000542NV855BTBD
O20231101000782NC855BTBD
O20231106000175MD855BTBD
O20231107001431NH855BTBD
O20231120000400DC855BTBD
O20231120003345IL855BTBD
O20231121000283GA855BTBD
O20231121002215PR855BTBD
O20231204000188NY855BTBD
O20231214002265CO855BTBD
O20240315001772AL855BTBD
O20240401002274RI855BTBD
O20240422000811CT855BTBD
O20190710002532CA855B2024-10-31
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 (122 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
2026-102026-06-30

Not an official CMS system. Verify before filing.

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