RITA MARIE OSTENDORP (RN) – Family Nurse Practitioner, NPI 1679266639

RITA MARIE OSTENDORP (RN) is a healthcare provider. based in Titusville, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. RN9434528 (FL). The NPI Number for RITA MARIE OSTENDORP (RN) is 1679266639

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
RITA MARIE OSTENDORP (RN)
NPI
1679266639
Phone
(321) 576-5927
Address
4771 LONGBOW DR
Enumeration Date
26 May 2023
Last Update Date
10 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3212162288
Graduation Year
2023 (3 years ago)
PAC ID
8921537432
Group Practice PAC ID
9335456755
Professional Enrollment ID
I20250129001548
Address ID
FL329013805ME1900XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for RITA MARIE OSTENDORP (RN)

  • 4771 LONGBOW DR

    TITUSVILLE, FL 327961402

    Phone: (321) 576-5927

    Type: Mailing

  • 1250 GRUMMAN PL STE B

    TITUSVILLE, FL 327807927

    Phone: (321) 267-4240

    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: 2025-01-29

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
I20250129001548INurse PractitionerFLTBD

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 32796)

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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: 9335456755View full group profile
NameSpecialtyState
Nurse PractitionerFL
Mental Health CounselorFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is RITA MARIE OSTENDORP (RN) listed with a National Provider Identifier?
Yes — RITA MARIE OSTENDORP (RN) has NPI 1679266639 on file in the registry.
Is RITA MARIE OSTENDORP (RN) still an active registrant?
RITA MARIE OSTENDORP (RN) carries an active NPI according to the public dataset.
What clinical focus is listed for RITA MARIE OSTENDORP (RN)?
At a glance, RITA MARIE OSTENDORP (RN) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for RITA MARIE OSTENDORP (RN)?
Travel planning: use Titusville, Florida as the reference point for RITA MARIE OSTENDORP (RN), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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