SHANNON ELIZABETH MICHEL WYNN MD
NPI 1053815274
Pediatrics - Hospice and Palliative Medicine in Hartford, CT
About Shannon Elizabeth Michel Wynn Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON ELIZABETH MICHEL WYNN MD (NPI 1053815274) is an individual hospice and palliative medicine provider in Hartford, Connecticut, licensed in Connecticut (74367) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hartford, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shannon Elizabeth Michel Wynn Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Shannon Michel Wynn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 601 clinicians in this Medicare group
Hartford, CT 06102
- Reassigned Medicare billing, Connecticut enrollment
- 1,333 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HARTFORD, CT 06106
HARTFORD, CT 06106
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shannon Michel Wynn's NPI number?
The NPI number for Shannon Michel Wynn is 1053815274. It was assigned to this individual provider in the NPPES registry on March 21, 2018. The provider is also known as Shannon Elizabeth Michel.
Where is Shannon Michel Wynn located?
Shannon Michel Wynn practices at 282 Washington St, Hartford, CT 06106. The listed phone number is (860) 545-9000.
What is Shannon Michel Wynn's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Hospice and Palliative Medicine, with taxonomy code 2080H0002X.
Is Shannon Michel Wynn enrolled in Medicare?
Yes. Shannon Michel Wynn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Shannon Michel Wynn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Michel Wynn reassigns Medicare benefits to 2 organizations: Connecticut Children's Specialty Group, Inc. (Hartford, CT) and Hartford Hospital (Hartford, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Michel Wynn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shannon Michel Wynn was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Shannon Elizabeth Michel Wynn, MD · NPI 1053815274
Hospice and Palliative Medicine physician in Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since March 21, 2018.
## Identity
- **NPI:** 1053815274 (Entity type: Individual)
- **Enumerated:** March 21, 2018
- **Primary specialty:** Pediatrics - Hospice and Palliative Medicine · taxonomy 2080H0002X
- **State license:** 74367 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 282 WASHINGTON ST, Hartford, CT 06106-3322
- **Phone:** (860) 545-9000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Connecticut Children's Specialty Group, Inc. (NPI 1669448882, Hartford, CT); Hartford Hospital (NPI 1407806391, Hartford, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053815274) · Data from the CMS NPPES public registry.