Received the following email from customerservice-donotreply@cms.hhs.gov SUB:Request for Corrections for Medicare Enrollment Application (Tracking ID: T042720210001010)  To:  jlh6690@gmail.com,snbc@claimsmedinc.com   Subject:  Request for Corrections for Medicare Enrollment Application (Tracking ID: T042720210001010)  Date:   04/30/2021 16:35 PM  This message is in response to your Medicare enrollment application that was submitted from https://pecos.cms.hhs.gov. You are listed as the contact person for this application. Your application is assigned the Tracking Identifier of T042720210001010. The information provided below indicates areas of your application requiring corrections as determined by your fee-for-service contractor.  ----------------------------------------------------------------------------------------------------------------------------------------------------------------------  Application Tracking ID: T042720210001010   NPI ID: 1326665472   Medicare ID:    Name: JESSICA HARTMAN   State: MA  Fee-for-Service Contractor: NATIONAL GOVERNMENT SERVICES, INC.  ----------------------------------------------------------------------------------------------------------------------------------------------------------------------  Other Comments  BOARD CERTIFICATION -A copy or clear photograph of your board certification from an accreditation board for nurse practitioners (ANCC, AANP, etc.) is required. Please upload this information to PECOS as a supporting document.  DEGREE/ DIPLOMA          -A copy or clear photograph of your Master's degree in nursing or a Doctor of Nursing Practice (DNP) Doctoral degree is required. Please upload this information to PECOS as a supporting document.  *Please log into PECOS, select "My Associates", scroll down and select "View Enrollments", and select the application under Return for Corrections. Make all of the appropriate changes as requested. Be sure to fully re-submit the application after the changes are made, with completed e-signatures. If faxing supporting documentation, fax to 315-442-4234.  *We may reject your application(s) if you do not furnish complete information within 30 calendar days from the postmarked date of this email pursuant to 42 CFR 424.525.  You must submit the requested revisions and/or supply the requested information/supporting documentation within your allotted 30 days.   *If you have any questions regarding this development request please contact me directly at 781-741-3040 and reference case number: PE0000263367   Thank you,  Kathleen O'Brien  ----------------------------------------------------------------------------------------------------------------------------------------------------------------------  Please retain this e-mail for your records.  This email message is an automated notification. Do not reply to this message as it is sent from an unmonitored account.  If you have any questions about this identifier, you may:  1.) Refer to the Web site at https://pecos.cms.hhs.gov, or  2.) Contact your fee-for-service contractor listed above.  Please note:  The information provided in the Enrollment application may be shared with and used by others only in accordance with the privacy notice to which you agreed at the time of application. In addition, you agreed to keep the PECOS updated with any changes to data listed on the enrollment application within 30 days of the effective date of the change. If you are not the provider, you are required to inform the provider of the information in this e-mail.  Unauthorized interception of this communication could be a violation of Federal and State Law. This communication and any files transmitted with it are confidential and may contain protected health information. This communication is solely for the use of the person or entity to whom it was addressed. If you are not the intended recipient, any use, distribution, printing or acting in reliance on the contents for this message is strictly prohibited. If you have received this message in error, please notify the sender and destroy any and all copies.