MUOI PETRUFF (FNP) – Family Nurse Practitioner, NPI 1457110470

MUOI PETRUFF (FNP) is a healthcare provider. based in Somers, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 12985 (CT). The NPI Number for MUOI PETRUFF (FNP) is 1457110470

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MUOI PETRUFF (FNP)
NPI
1457110470
Phone
(860) 558-0496
Address
12 STILL MEADOW LN
Enumeration Date
14 March 2024
Last Update Date
11 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2035293271
Graduation Year
2023 (3 years ago)
PAC ID
9335686559
Group Practice PAC ID
9739663105
Professional Enrollment ID
I20240806002938
Address ID
CT064773506OR521XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:2State licenses:1Digital endpointsOther names

4,191 NURSE PRACTITIONER in CT

Provider Addresses for MUOI PETRUFF (FNP)

  • 12 STILL MEADOW LN

    SOMERS, CT 060712134

    Phone: (860) 558-0496

    Type: Mailing

  • 201 CHESTNUT HILL RD

    STAFFORD SPRINGS, CT 060764005

    Phone: (860) 684-4251

    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: 2024-08-06

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
I20240806002938INurse 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 06071)

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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: 9739663105View full group profile
NameSpecialtyState
Physician AssistantCT
Nurse PractitionerCT
Nurse PractitionerCT
Physician AssistantCT
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerCT
Physician AssistantCT

Reviews

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Frequently asked questions

How is MUOI PETRUFF (FNP) identified in CMS data?
CMS-hosted NPPES data lists MUOI PETRUFF (FNP) with NPI 1457110470.
Is MUOI PETRUFF (FNP) listed as active for patients and plans?
The listing shows MUOI PETRUFF (FNP) as active in the NPI system.
What healthcare role does MUOI PETRUFF (FNP) hold?
Scheduling teams often label MUOI PETRUFF (FNP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MUOI PETRUFF (FNP) based?
MUOI PETRUFF (FNP) is tied to Somers, Connecticut in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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