Skip to Main Content
Web Content Viewer


Web Content Viewer
Revalidate My Enrollment
Revalidate My Enrollment

Revalidate My Enrollment

Best Practices for Revalidating Your Enrollment

  • Take advantage of PECOS to complete your enrollment application
  • Respond to the revalidation request by the due date on the request
  • PECOS submission, either e-sign or upload (PDF or TIFF) signed and dated certification statement(s)
  • Paper submission, ensure the application is signed and dated by an authorized/delegated official
  • Ensure that your application is complete and all supporting documentation is included
  • Be sure to pay the application fee or submit a hardship request
  • If you are mailing in your application, verify that you are using the correct version of the CMS-855 and CMS-588
  • Ensure that the Legal Business Name entered matches the name located on your IRS tax document
  • Respond quickly to any request for additional information or changes required to process your application
Last Modified: 6/21/21

Share Comments about your Enrollment Experience

Check Provider Enrollment Application Status

Learn About PECOS Web!

Mailing Address for states AK, AZ, CA, HI, ID, MI, MN, NJ, NV, NY, OR, WA, WI, & U.S. Territories:

National Government Services, Inc.

P.O. Box 6474 | Indianapolis, IN 46206-6474

Mailing Address for states CT, MA, ME, NH, RI, VT:

National Government Services, Inc.

P.O. Box 7149 | Indianapolis, IN 46207-7149

Contact Enrollment:


Available by phone Monday-Friday*
JK: 8:00 a.m.-4:00 p.m. ET
J6: 8:00 a.m.-4:00 p.m. CT
J6: 9:00 a.m.-5:00 p.m. ET

*Closed for training on the 2nd and 4th Friday of the month
12:00 p.m.-4:00 p.m. ET
11:00 a.m.-3:00 p.m. CT

Complementary Content