GENEVA ZETTERSTROM (FNP-C) – Nurse Practitioner, NPI 1538739545

GENEVA ZETTERSTROM (FNP-C) is a healthcare provider. based in Derby, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 87303 (CT). The NPI Number for GENEVA ZETTERSTROM (FNP-C) is 1538739545

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
GENEVA ZETTERSTROM (FNP-C)
NPI
1538739545
Phone
(203) 732-7222
Address
130 Division St
Enumeration Date
30 June 2021
Last Update Date
12 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2036948200
Graduation Year
2021 (5 years ago)
PAC ID
9436556339
Group Practice PAC ID
2466792833
Professional Enrollment ID
I20210920002369
Address ID
CT064512101ME435XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

4,196 NURSE PRACTITIONER in CT

Provider Addresses for GENEVA ZETTERSTROM (FNP-C)

  • 130 Division St

    Derby, CT 064181326

    Phone: (203) 732-7222

    Type: Location

  • 24 NATHAN HALE DR

    COVENTRY, CT 062383322

    Phone: (860) 558-2716

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-03-03 • Largest payer in this snapshot: CSL Behring ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Behring$22
View all Open Payments →|Open Payments Risk Radar →

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: 2021-09-20

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
I20210920002369INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making9289$0
99284Emergency department visit with moderate level of medical decision making5454$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3734$0
99291Critical care, first 30-74 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 06418)

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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: 2466792833View full group profile
NameSpecialtyState
-CT
Nurse PractitionerCT
Emergency MedicineCT
Emergency MedicineCT
Emergency MedicineCT
Emergency MedicineCT
Emergency MedicineNJ
Emergency MedicineNY
Emergency MedicineCT
Nurse PractitionerCT

Reviews

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Frequently asked questions

What number should I use to identify GENEVA ZETTERSTROM (FNP-C) for billing?
Administrative and clinical systems typically use NPI 1538739545 for GENEVA ZETTERSTROM (FNP-C).
Quick check: is GENEVA ZETTERSTROM (FNP-C) active?
Public NPPES data shows GENEVA ZETTERSTROM (FNP-C) with an active NPI status right now.
What type of care does GENEVA ZETTERSTROM (FNP-C) provide?
GENEVA ZETTERSTROM (FNP-C)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is GENEVA ZETTERSTROM (FNP-C) tied to Derby, Connecticut?
If you are local to Derby, Connecticut, GENEVA ZETTERSTROM (FNP-C) may be relevant to your search.
Can I export GENEVA ZETTERSTROM (FNP-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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