Enrollment Compliance

NPI & Medicare Enrollment
Revalidation Tracking

Your NPI does not expire, but Medicare enrollment revalidation happens every 5 years through PECOS. Track every provider's CMS revalidation cycle across your practice and avoid deactivated billing privileges.

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Important Regulatory Distinction: Your 10-digit National Provider Identifier (NPI) does not expire. However, CMS mandates periodic Medicare enrollment revalidation (typically every 5 years for clinicians and 3 years for DMEPOS suppliers) through PECOS and your MAC. NPPES records must also be updated within 30 days of practice changes.
THE COST OF A LAPSED REVALIDATION

Protecting practice billing privileges

5 Years
Standard Revalidation Cycle

CMS generally requires individual physicians and non-physician clinicians to revalidate Medicare enrollment every 5 years via PECOS.

0% Paid
Deactivated Billing Impact

Claims for dates of service rendered during a Medicare deactivation window cannot be billed or paid retroactively.

60–90 Days
Notice Window

MACs send notices prior to your revalidation due date. CredVault alerts start at 60 days to ensure timely submission.

FEATURES

Everything you need to track enrollment cycles

Centralized tracking built for healthcare administrators managing provider enrollments.

Multi-window alerts

Proactive email reminders at 60, 30, 14, and 7 days before Medicare and Medicaid revalidation deadlines.

5-year cycle oversight

Track each provider's individual enrollment revalidation schedule across multiple states and Medicare contractors.

Direct PECOS access

One-click links to the CMS PECOS portal and official Medicare Revalidation List tool to verify due dates.

Roster import

Upload your current provider roster spreadsheet to automatically map NPIs and revalidation dates.

Status dashboard

Monitor enrollment statuses across your entire practice: current, due soon, in review, or overdue.

NPPES update reminders

Maintain compliance with CMS rules requiring practice location and taxonomy changes to be submitted within 30 days.

HOW IT WORKS

From roster setup to continuous oversight

A simple 3-step workflow for practice credentialing teams.

1

Add providers & NPIs

Enter your provider roster or upload a spreadsheet. CredVault validates NPIs against the official registry.

2

Set revalidation dates

Record current Medicare PECOS due dates and state Medicaid revalidation cycles for each clinician.

3

Receive timely reminders

Automated warnings notify your team at 60, 30, 14, and 7 days. Submit through PECOS and reset the cycle.

FAQ

Frequently asked questions

Does an NPI expire?

No. A National Provider Identifier (NPI) is a permanent 10-digit identification number issued by CMS through NPPES and does not expire. However, healthcare providers must keep their NPPES record current by reporting any changes (such as practice address, phone number, or primary taxonomy) within 30 days.

What is Medicare enrollment revalidation?

Medicare enrollment revalidation is the process by which CMS confirms that currently enrolled providers continue to meet all federal requirements and maintain active billing privileges. Revalidation occurs generally every 5 years for physicians and non-physician practitioners, and every 3 years for DMEPOS suppliers, administered through PECOS and your regional Medicare Administrative Contractor (MAC).

How do I find my Medicare enrollment revalidation due date?

CMS publishes revalidation due dates up to 7 months in advance on the CMS Medicare Revalidation List tool (data.cms.gov). Providers can also check their enrollment record directly inside CMS PECOS. Your regional MAC also issues an official revalidation notice 60 to 90 days before your due date.

What happens if a Medicare revalidation deadline is missed?

If revalidation materials are not submitted by the required due date, your MAC can deactivate your Medicare billing privileges. While deactivated, providers cannot bill Medicare, claims are rejected, and services rendered during the lapse cannot be billed retroactively.

How does CredVault track revalidation deadlines?

CredVault tracks each provider's Medicare enrollment revalidation due dates, state Medicaid revalidation dates, and NPPES update cycles. Automated email alerts at 60, 30, 14, and 7 days ensure coordinators and practice managers submit revalidations through PECOS well ahead of the deadline.

Does CredVault submit revalidations on our behalf?

No. CredVault is a compliance tracking and automated reminder platform. An authorized official, delegated official, or provider must log into CMS PECOS to electronically sign and submit the official revalidation application.

Never miss a Medicare revalidation deadline.

Centralize provider credential and enrollment oversight with CredVault.

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