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Revalidation record

Movn Health Medical Group Pllc — revalidation due 2026-08-31

past duemay be stale

NPI 1891310124 · Non-DME Part B · IL · Enrollment ID O20210823001701

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

This NPI has 39 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
O20210823001701IL855B2026-08-31
O20220218001079NY855BTBD
O20220601001721AR855BTBD
O20220618000027TX855BTBD
O20220628000279OK855BTBD
O20220913004128MT855BTBD
O20220927002104PA855BTBD
O20221013002797WV855BTBD
O20221216000998NM855BTBD
O20230207002179FL855BTBD
O20230209002694DE855BTBD
O20231130000886CA855BTBD
O20231220002271WA855BTBD
O20231228001915MA855BTBD
O20240129002917CT855BTBD
O20240305002583ME855BTBD
O20240307000041RI855BTBD
O20240307003351NH855BTBD
O20240313002116IN855BTBD
O20240319001967AL855BTBD
O20240319002093MI855BTBD
O20240322000166MD855BTBD
O20240401000655NJ855BTBD
O20240401002563LA855BTBD
O20240403001477SC855BTBD
O20240404003987TN855BTBD
O20240405000597MO855BTBD
O20240411002353KS855BTBD
O20240416003200GA855BTBD
O20240424001481KY855BTBD
O20240425001021OH855BTBD
O20240501004206NC855BTBD
O20240514000562WI855BTBD
O20240620002471MN855BTBD
O20240719000665DC855BTBD
O20240731000444VT855BTBD
O20240927000431IA855BTBD
O20250121003168WY855BTBD
O20250327000409NE855BTBD
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 (59 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
2026-102026-08-31

Not an official CMS system. Verify before filing.

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