CHRISTINE L DITULLIO (CNP) – Pediatric Nurse Practitioner, NPI 1932584950

CHRISTINE L DITULLIO (CNP) is a healthcare provider. based in Southborough, Massachusetts. specializing in Pediatric Nurse Practitioner. They hold the professional credentials CNP. They hold a License No. RN2281850 (MA). The NPI Number for CHRISTINE L DITULLIO (CNP) is 1932584950

Main info

Female
Name
CHRISTINE L DITULLIO (CNP)
NPI
1932584950
Phone
(508) 360-4100
Address
24 Newton St
Enumeration Date
21 July 2015
Last Update Date
3 September 2024

Contacts

FHIR Endpoint
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

Provider Addresses for CHRISTINE L DITULLIO (CNP)

  • 24 Newton St

    Southborough, MA 017721215

    Phone: (508) 360-4100

    Fax: (508) 453-8152

    Type: Location

  • 630 PLANTATION ST

    WOT 12TH FL

    WORCESTER, MA 016052038

    Phone: (508) 368-5532

    Fax: (508) 453-8152

    Type: Mailing

  • 24 NEWTON ST

    SOUTHBOROUGH, MA 017721215

    Phone: (508) 360-4100

    Fax: (508) 453-8152

    Type: Location

  • PO BOX 415348

    BOSTON, MA 022415348

    Phone: (800) 225-8885

    Fax: (508) 334-1977

    Type: Mailing

  • 336 THOMPSON RD

    WEBSTER, MA 015701587

    Phone: (508) 943-5224

    Fax: (508) 949-2211

    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: 2015-09-23

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
I20150923001605INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01772)

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Reviews

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Frequently asked questions

Can I cross-check CHRISTINE L DITULLIO (CNP) using NPI 1932584950?
NPI 1932584950 belongs to CHRISTINE L DITULLIO (CNP); compare other details if you need extra assurance.
Is there an active status for CHRISTINE L DITULLIO (CNP)?
For scheduling context, CHRISTINE L DITULLIO (CNP) is shown as active in the registry.
What expertise is attributed to CHRISTINE L DITULLIO (CNP)?
CHRISTINE L DITULLIO (CNP)'s specialty line reads Pediatric Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with CHRISTINE L DITULLIO (CNP)?
Directory geography for CHRISTINE L DITULLIO (CNP) centers on Southborough, Massachusetts.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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