CHRISTINE MUTINDI NDETTI (NP) – Family Nurse Practitioner, NPI 1760734974

CHRISTINE MUTINDI NDETTI (NP) is a healthcare provider. based in Hampton, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 95002522 (CA). The NPI Number for CHRISTINE MUTINDI NDETTI (NP) is 1760734974

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINE MUTINDI NDETTI (NP)
NPI
1760734974
Phone
(770) 707-0808
Address
1058 BEAR CREEK BLVD
Enumeration Date
11 October 2012
Last Update Date
31 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7074411624
Graduation Year
2012 (14 years ago)
PAC ID
8426201138
Group Practice PAC ID
9436067485
Professional Enrollment ID
I20190320001702
Address ID
CA955011284EU2200XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for CHRISTINE MUTINDI NDETTI (NP)

  • 1058 BEAR CREEK BLVD

    HAMPTON, GA 302281849

    Phone: (770) 707-0808

    Fax: (770) 707-1580

    Type: Mailing

  • 737 W CHILDS AVE

    MERCED, CA 953416805

    Phone: (770) 707-0808

    Fax: (770) 707-1580

    Type: Mailing

  • 200 C ST

    PATTERSON, CA 953632701

    Phone: (209) 722-4842

    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: 2016-11-29

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
I20161129001770INurse PractitionerCATBD

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
83036Hemoglobin a1c level2421$0
81015Urinalysis using microscope2121$0
View full utilization report →

Insurance plans in this area (ZIP 30228)

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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: 9436067485View full group profile

Reviews

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Frequently asked questions

Is there an official ID for CHRISTINE MUTINDI NDETTI (NP) in U.S. healthcare records?
The official identifier for CHRISTINE MUTINDI NDETTI (NP) is NPI 1760734974.
Active or inactive — what applies to CHRISTINE MUTINDI NDETTI (NP)?
You should see CHRISTINE MUTINDI NDETTI (NP) as active in CMS-hosted NPPES data.
What area of care is associated with CHRISTINE MUTINDI NDETTI (NP)?
CHRISTINE MUTINDI NDETTI (NP)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is CHRISTINE MUTINDI NDETTI (NP) located near Hampton?
CHRISTINE MUTINDI NDETTI (NP) currently maps to Hampton, Georgia in this extract.
When was this NPI issued?
Enumeration for CHRISTINE MUTINDI NDETTI (NP) is noted as October 11, 2012 where the registry provides it.

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