Deactivation, Suspension and Reactivation

Reactivation of Billing Privileges

To reactivate your individual and/or group billing privileges, please follow instructions within the deactivation letter.

Assisting with Reactivation

Instructions for Accessing PECOS

For first-time user, request a user ID and connection (if applicable) or log in with your user name and password.

Instructions for Reactivating in PECOS

  • Login to PECOS
  • My Associates
  • View Enrollment (enrollment in question)
  • Select Enrollment record (applicable for reactivations)
  • Select More Options
  • Select Reactivate
  • Start Application/Confirm Reason
  • Review and Update all Topics
  • Resolve all Errors and Verify Warnings
  • Begin Application Submission
  • Submit and Sign the Application(s)

Note: If both the sole owner and the sole owners group are deactivated, a PECOS reactivate application is required for each.

Instruction to Reactivate Using Paper Application

To reactivate an individual provider (physician or nonphysician practitioner) (sole proprietor or sole owner):

Follow instructions in the hyperlinks below for applicable situations and mark “reactivate” in section 1 of the paper application:

To reactivate a clinic/group/entity/supplier (type 2 NPI)

Follow instructions in the link below for applicable situations and mark “reactivate” in section 1 of the paper application:

Reviewed 7/1/2024

Helpful Resources

Log Into PECOS

Form(s) you'll need:

Enrollment Forms

Helpful Resources

Log Into PECOS

Form(s) you'll need:

Enrollment Forms

Helpful Resources

Check Provider Enrollment Application Status
Log Into PECOS

J6 Mailing Address:

National Government Services, Inc.
P.O. Box 6474
Indianapolis, IN 46206-6474

Contact Enrollment:

855-834-5596

Hours Available:

Monday–Friday
8:00 a.m.–4:00 p.m. CT
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

Form(s) you'll need:

CMS-855A - Medicare Enrollment Application form for Institutional Providers

Helpful Resources

Check Provider Enrollment Application Status
Log Into PECOS

JK Mailing Address:

National Government Services, Inc.
P.O. Box 7149
Indianapolis, IN 46206-7149

Contact Enrollment:

855-593-8047

Hours Available:

Monday–Friday
8:00 a.m.–4:00 p.m. ET

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

Form(s) you'll need:

CMS-855A - Medicare Enrollment Application form for Institutional Providers