LINDA PETTEI (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1407976434

LINDA PETTEI (NP) is a healthcare provider. based in Bridgeport, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 6450 (CT). The NPI Number for LINDA PETTEI (NP) is 1407976434

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
LINDA PETTEI (NP)
NPI
1407976434
Phone
(203) 384-3199
Address
C/O NORTHEAST MEDICAL GROUP, INC.
Enumeration Date
31 March 2007
Last Update Date
31 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2033843000
Graduation Year
2003 (23 years ago)
PAC ID
3779881891
Group Practice PAC ID
2062312598
Professional Enrollment ID
I20160406000300
Address ID
CT066102805BR267XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,191 NURSE PRACTITIONER in CT

Provider Addresses for LINDA PETTEI (NP)

  • C/O NORTHEAST MEDICAL GROUP, INC.

    226 MILL HILL AVE., 3RD FLOOR

    BRIDGEPORT, CT 066102826

    Phone: (203) 384-3199

    Type: Mailing

  • ONE HOSPITAL PLAZA

    STAMFORD, CT 06904

    Phone: (203) 276-7111

    Fax: (203) 276-7081

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-04-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160406000300INurse PractitionerCTTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06610)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062312598View full group profile
NameSpecialtyState
-CT
Emergency MedicineCT
Cardiovascular Disease (Cardiology)CT
Emergency MedicineCT
-DC
Emergency MedicineCT
-CT
Emergency MedicineCT
-CT
Physician AssistantCT

Reviews

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Frequently asked questions

What identifier follows LINDA PETTEI (NP) across health systems?
The NPI 1407976434 uniquely identifies LINDA PETTEI (NP) in U.S. healthcare data.
Is LINDA PETTEI (NP) currently accepting referrals based on NPI status?
Registry metadata lists LINDA PETTEI (NP) as active.
How should patients interpret LINDA PETTEI (NP)'s specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for LINDA PETTEI (NP). Clinical services aligned with this taxonomy classification.
What city is tied to LINDA PETTEI (NP)?
The directory associates LINDA PETTEI (NP) with Bridgeport, Connecticut. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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