GLORIA CHRISTINA SUDETA (NP-C) – Psychiatric/Mental Health Nurse Practitioner, NPI 1083070064
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for GLORIA CHRISTINA SUDETA (NP-C)
1520 N MOUNTAIN AVE
SUITE 128 BLDG F
ONTARIO, CA 917621128
Phone: (909) 949-9299
Type: Location
1520 N Mountain Ave
Suite 128 Bldg F
Ontario, CA 917621128
Phone: (909) 949-9299
Type: Location
2740 HERNDON AVE
CLOVIS, CA 936116813
Phone: (559) 299-2608
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 127 Open Payments records for all available years, with a total value of $2,650.
Total Amount is formed as General ($2,650) + Research ($0) + Ownership ($0) = $2,650.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: ABBVIE INC. ($647).
Total Amount
$2,650
General + Research + Ownership
Payments
127
Total payment records
General Amount
$2,650
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $647 |
| Teva Pharmaceuticals USA, Inc. | $532 |
| Otsuka America Pharmaceutical, Inc. | $294 |
| ITI, Inc. | $269 |
| Vanda Pharmaceuticals Inc. | $191 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-11-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161130001840 | I | Nurse Practitioner | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 52 | 44 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 50 | 18 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 29 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 18 | 12 | $0 |
Insurance plans in this area (ZIP 91762)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| Nurse Practitioner | NC | |
| - | CA | |
| Family Practice | CA | |
| Registered Dietitian Or Nutrition Professional | CA | |
| Marriage And Family Therapist | CA | |
| Clinical Psychologist | CA | |
| Family Practice | CA | |
| P O D I A T R Y | CA | |
| Nurse Practitioner | CA |
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