- Track the Status of Your Application
- Provider Enrollment Application Process Timeline
- PECOS Application Status Tool
- Get Help with Rejected/Denied Enrollment Application
- Get Help with Rejected/Denied Enrollment Application
- Get Help with Rejected/Denied Enrollment Application
- PECOS Correct and Resubmit Application Instructions
- Requests for Additional Information
PECOS Correct and Resubmit Application Instructions
- Login to PECOS and select the following:
- My Associates
- View Enrollment for applicable enrollment under Existing Associates
- Correct and Resubmit for applicable enrollment record
- Topic View tab
- Select appropriate Topic
- Correct information and/or upload (PDF or TIFF) supporting document(s)
- Error/Warning Check tab
- Resolve all errors
- Verify warnings
- Begin Submission
- Signature Method: Electronic or Upload (PDF or TIFF)
- Read and agree to Medicare regulations by answering attestation questions
- Complete Submission button must be clicked to finish application
- Verify and Mange Signatures after submission by returning to the enrollment box and select Manage Signatures to verify completion
Revised 10/25/2024
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:
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
CMS-588 - Electronic Funds Transfer (EFT) Authorization Agreement form
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
CMS-588 - Electronic Funds Transfer (EFT) Authorization Agreement form