SANDRINE NDETAH APRN FNP-BC
NPI 1639843634
Nurse Practitioner - Family in New York, NY

Active since August 03, 2021PECOS EnrolledAccepts Medicare Assignment
489 5TH AVE FL 3, NEW YORK, NY 10017(415) 658-6791 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2026, Mar 31, 2025, Feb 24, 2025 and 2 more (5 updates tracked since 2021).

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 Other (2020).

NPPES Registry Identity

NPI1639843634
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSANDRINE NDETAHCredential: APRN FNP-BC
Location Address489 5TH AVE FL 3New York, NY 10017-6145
Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (415) 658-6791
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 3, 2021
Last NPPES UpdateMay 28, 20265 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
NPI 1639843634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in NY · 356099 Licensed in NH · 113875-23 Licensed in MA · RN2391688
489 5TH AVE FL 3, New York, NY 10017

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID6800267063
PECOS Enrollment IDI20250423003519, I20250618002829, I20250620001288, I20250620001754
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner
489 5TH AVE FL 3
NEW YORK, NY 10017
Nurse Practitioner (Family)
489 5TH AVE FL 3
NEW YORK, NY 10017
Physician Assistant
489 5TH AVE FL 3
NEW YORK, NY 10017
Physician Assistant
489 5TH AVE FL 3
NEW YORK, NY 10017
Physician Assistant
489 5TH AVE FL 3
NEW YORK, NY 10017
Nurse Practitioner (Community Health)
489 5TH AVE FL 3
NEW YORK, NY 10017
Nurse Practitioner
489 5TH AVE FL 3
NEW YORK, NY 10017
Nurse Practitioner (Family)
489 5TH AVE FL 3
NEW YORK, NY 10017

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.

What insurance does Sandrine Ndetah accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers 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 2 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.