- Determine if you Will Use PECOS or Paper to Revalidate
- Submit Revalidation Using PECOS
- Submit Revalidation Using Paper
- Clinics/Group Practices and Other Suppliers
- Physicians and Nonphysician Practitioners in Private Practice (Sole Owner or Sole Proprietor) With or Without any Reassigned Benefits
- Physicians and Nonphysician Practitioners that Reassign All Benefits
- Electronic Funds Transfer Agreement
- Supporting Documents
Revalidate Enrollment In PECOS
Instructions for accessing and submitting existing enrollment information in Provider Enrollment, Chain and Ownership System (PECOS):
- Login to PECOS
- Select My Associates
- Scroll down under Existing Associates
- Select ”View Enrollment” for applicable enrollment
- Select applicable enrollment record under Existing Enrollments
- Select Revalidate
- Confirm reason for application
- Select “Start Application”
- Review and update appropriate “Topic View” section(s)
- Upload supporting documents (if applicable)
- Resolve all errors and verify warnings
- Select “Begin Submission”
- Proceed with the Electronic Signature or Upload Certification Process
- Review and agree to Medicare regulations (Read and answer Attestation questions, if applicable)
- Verify National Government Services as your contractor
- Complete Submission button must be clicked to finish application
- Print and/or save your submission confirmation and tracking number
Related Content
Reviewed 7/30/2024
Helpful Resources
Check Provider Enrollment Application Status
Log Into PECOS
Pay Application Fee
J6 Mailing Address:
National Government Services, Inc.
P.O. Box 6475
Indianapolis, IN 46206-6475
Interactive Voice Response:
877-908-9499
Contact Enrollment:
877-908-8476
Hours Available:
Monday–Friday
8:00 a.m.–4:00 p.m. CT
Form(s) you'll need:
Helpful Resources
Check Provider Enrollment Application Status
Log Into PECOS
Pay Application Fee
JK Mailing Address:
National Government Services, Inc.
P.O. Box 7149
Indianapolis, IN 46207-7149
Interactive Voice Response:
877-869-6504
Contact Enrollment:
888-379-3807
Hours Available:
Monday–Friday
8:00 a.m.–4:00 p.m. ET
Form(s) you'll need: