SANDRINE NDETAH APRN FNP-BC
NPI 1639843634
Nurse Practitioner - Family in New York, NY
About Sandrine Ndetah Aprn Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDRINE NDETAH APRN FNP-BC (NPI 1639843634) is an individual family provider in New York, New York, licensed in New York (356099) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of University Of North Dakota School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sandrine Ndetah Aprn Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
7Medicare enrollment records show Sandrine Ndetah reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10022
- Reassigned Medicare billing, New York enrollment
- 84 clinicians in this Medicare group
New York, NY 10022
- Reassigned Medicare billing, New Jersey enrollment
- 79 clinicians in this Medicare group
Agawam, MA 01001
- Reassigned Medicare billing, Massachusetts, New Hampshire and Maine enrollments
- Also billed through NPI 1720779150 (New Hampshire), NPI 1821789363 (Maine)
- 135 clinicians in this Medicare group
Durham, NC 27701
- Reassigned Medicare billing, New Hampshire enrollment
- 14 clinicians in this Medicare group
Flint, MI 48532
- Reassigned Medicare billing, Michigan, Florida, Texas and Arizona enrollments
- Also billed through NPI 1669302394 (Florida), NPI 1235821943 (Texas), NPI 1710764477 (Arizona)
- 4 clinicians in this Medicare group
Richardson, TX 75081
- Reassigned Medicare billing, Texas enrollment
- 3 clinicians in this Medicare group
Gilbert, AZ 85233
- Reassigned Medicare billing, Arizona enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sandrine Ndetah's NPI number?
The NPI number for Sandrine Ndetah is 1639843634. It was assigned to this individual provider in the NPPES registry on August 3, 2021.
Where is Sandrine Ndetah located?
Sandrine Ndetah practices at 489 5th Ave Fl 3, New York, NY 10017. The listed phone number is (415) 658-6791.
What is Sandrine Ndetah's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sandrine Ndetah enrolled in Medicare?
Yes. Sandrine Ndetah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Sandrine Ndetah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandrine Ndetah reassigns Medicare benefits to 7 organizations: Ivy Medical Group PLLC (New York, NY), Lumina Care Medical Nj LLC (New York, NY), Convenientmd - Ffs Uc LLC (Agawam, MA), Mental Health Specialty Group PA (Durham, NC), Virtumed LLC (Flint, MI) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandrine Ndetah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sandrine Ndetah accept?
Health plans from Blue Cross and Blue Shield of Texas, Harvard Pilgrim Health Care and Molina Healthcare list Sandrine Ndetah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sandrine Ndetah was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sandrine Ndetah, APRN FNP-BC · NPI 1639843634
Family physician in New York, New York. Individual provider, active in the CMS NPPES registry since August 3, 2021.
## Identity
- **NPI:** 1639843634 (Entity type: Individual)
- **Enumerated:** August 3, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 356099 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 489 5TH AVE FL 3, New York, NY 10017-6145
- **Phone:** (415) 658-6791
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Ivy Medical Group PLLC (NPI 1700558798, New York, NY); Lumina Care Medical Nj LLC (NPI 1851118319, New York, NY); Convenientmd - Ffs Uc LLC (NPI 1295521011, Agawam, MA); Mental Health Specialty Group PA (NPI 1801472634, Durham, NC); Virtumed LLC (NPI 1730026642, Flint, MI); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Dakota School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** May 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1639843634) · Data from the CMS NPPES public registry.