Last Modified: 7/28/2021
Location: FL, PR, USVI
Business: Part A, Part B
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Revalidation is a complete and thorough re-verification of the information contained in your Medicare enrollment record to ensure it is still accurate and compliant with Medicare regulations. Simply put, revalidation is re-enrollment. All providers and suppliers are required to revalidate their enrollment information every five years.
First Coast Service Options must receive your enrollment application within 60 days of the revalidation request.
Take advantage of this helpful checklist to ensure that you have the information you need to successfully complete your revalidation:
Revalidation primarily consists of completing an enrollment application as you did when you first enrolled in Medicare. The process was developed to confirm the accuracy of your Medicare enrollment record currently on file.
Expedite the revalidation process by using internet-based PECOS. This online process is the easiest way to revalidate.
Need assistance with the revalidation process using internet-based PECOS? View step-by-step tutorials to walk you through.
Paper enrollment applications
If you choose to revalidate using paper applications you must complete all applicable sections of the appropriate CMS-855 form.
Note: Section 1 of each enrollment application includes a checkbox for revalidating your Medicare enrollment and advises which sections of the form are required for completion. Keep in mind this is a thorough re-verification process and most, if not all sections, will be required.
CMS 855S for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers: Please visit CGS Medicare
, the DMEPOS Medicare Administrative Contractor (MAC) for Florida, Puerto Rico, and the U.S. Virgin Islands.
Additional application details
When returning your revalidation application or PECOS web certification and supporting documentation; please use the revalidation project cover sheet enclosed with your initial revalidation request letter.
You may either:
Mail completed paper provider/supplier applications to:
JN Provider Enrollment
P.O. Box 3409
Mechanicsburg, PA 17055-1849
• Include the CMS-588 EFT agreement if you do not have the most current version on file
View the following resources for further assistance with the revalidation process:
Use the enrollment status lookup tool
to check the status of revalidation applications. This tool may be used for both internet-based PECOS submissions and paper applications.
• Individual practitioner
-- required information includes: First and last names, TIN/TIN type, enrollment state/territory, and NPI.
-- required information includes: Legal business name, TIN/TIN type, and enrollment state/territory.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.