Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sandrine Ndetah, APRNFNP-BC

Individual provider Family Nurse Practitioner · NPI 1639843634

Sandrine Ndetah, APRNFNP-BC is a Nurse Practitioner in New York, New York. Graduated from University of North Dakota School of Medicine in 2020, 6 years ago. Practices with Convenientmd - Ffs Uc LLC, a 395-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts, New Hampshire and New York.

Years since qualifying
6
Trained at
University of North Dakota School of Medicine
Licensed in
MA, NH, NY
In the registry since
2021
Specialties on file
4
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Practice location Address checks out

489 5th Ave Fl 3
New York, NY 10017-6145
Phone: (415) 658-6791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 356099 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 113875-23 (NH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN2391688 (MA)

Record details

NPI number1639843634
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRNFNP-BC
Sole proprietorNo
NPI enumeratedAugust 3, 2021
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Convenientmd - Ffs Uc Llc — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Colleagues at Convenientmd - Ffs Uc LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 395 clinicians in the practice; 12 are shown here.

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