SUSAN NDERITU – Psychiatric/Mental Health Nurse Practitioner, NPI 1528745296

SUSAN NDERITU is a healthcare provider. based in Revere, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. 2023035148 (MA). The NPI Number for SUSAN NDERITU is 1528745296

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN NDERITU
NPI
1528745296
Phone
(978) 328-8637
Address
152 FENLEY ST
Enumeration Date
3 July 2023
Last Update Date
3 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7182984375
Graduation Year
2023 (3 years ago)
PAC ID
2365899333
Group Practice PAC ID
8628346731
Professional Enrollment ID
I20231113002474
Address ID
MA021084209BO44XXXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for SUSAN NDERITU

  • 152 FENLEY ST

    REVERE, MA 021512341

    Phone: (978) 328-8637

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $154.

Total Amount is formed as General ($154) + Research ($0) + Ownership ($0) = $154.

Last reported payment date: 2023-04-15 • Largest payer in this snapshot: ITI, Inc. ($89).

Total Amount

$154

General + Research + Ownership

Payments

8

Total payment records

General Amount

$154

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-15

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-11-13

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
I20231113002474INurse PractitionerMATBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes8561$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes8479$0
View full utilization report →

Insurance plans in this area (ZIP 02151)

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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: 8628346731View full group profile
NameSpecialtyState
Nurse PractitionerMA
Nurse PractitionerVT
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Nurse PractitionerMA
Clinical Social WorkerMA
Nurse PractitionerMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

How do payers reference SUSAN NDERITU?
For SUSAN NDERITU, use NPI 1528745296 as the unique 10-digit identifier.
Is SUSAN NDERITU shown as active in public data?
Registry records indicate SUSAN NDERITU maintains an active NPI.
What kind of doctor is SUSAN NDERITU?
SUSAN NDERITU is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for SUSAN NDERITU?
Travel planning: use Revere, Massachusetts as the reference point for SUSAN NDERITU, then confirm.
Can I trust this NPI listing for SUSAN NDERITU?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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