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SHIRLEY Y SAMY APRN
NPI 1174598536
Registered Nurse in Middlebury, CT

Active since February 21, 2006PECOS EnrolledAccepts Medicare Assignment
93.56/100
CMS Quality Rating
1625 STRAITS TPKE, MIDDLEBURY, CT 06762(203) 758-8107(203) 568-2924 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Shirley Y Samy Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIRLEY Y SAMY APRN (NPI 1174598536) is an individual registered nurse in Middlebury, Connecticut, licensed in Connecticut (E53233) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (1996).

NPPES Registry Identity

NPI1174598536
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameSHIRLEY Y SAMYCredential: APRN
Location Address1625 STRAITS TPKEMiddlebury, CT 06762-1805
Mailing Address1625 Straits Tpke, Suite #201Middlebury, CT 06762-1805 · (203) 573-9512 · Fax (203) 568-2904
Phone(203) 758-8107
Fax(203) 568-2924
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 1996
Enumeration DateFebruary 21, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1174598536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in CT · E53233
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 001441 (CT)
1625 STRAITS TPKE, Middlebury, CT 06762
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Shirley Y Samy Aprn 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.

PECOS PAC ID2163567256
PECOS Enrollment IDI20100301000240
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shirley Samy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hartford Healthcare Medical Group, Inc
24 mi
Surgery
1290 SILAS DEANE HWY, ATTN: LINDA STRAKA
Wethersfield, CT 06109
  • Reassigned Medicare billing, Connecticut enrollment
  • 747 clinicians in this Medicare group
NPI 1043561301 (860) 972-9033

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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
150 services93 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
67 services58 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
49 services49 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
24 services20 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
11 services11 patients

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.

93.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.51
Promoting Interoperability100
Improvement Activities40

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.

ELIZABETH MARIE LUCCHESI
Dentist (General Practice)
1625 STRAITS TPKE
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 598-3889
DR. KWEKU G SAM JR. MD
Pediatrics
1625 STRAITS TPKE
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 759-0666
JESSICA L MEGER MS, ATC, PA-C
Physician Assistant (Surgical)
1625 STRAITS TPKE, SUITE #211
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 573-9512
KAILYN SCHUSTER
Physical Therapist
1625 STRAITS TPKE, SUITE 303
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 598-0400
DR. JUAN DIEGO HOLGUIN MD
Surgery
1625 STRAITS TPKE, SUITE 200
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 568-2915
MR. HOWARD A SMITH PA-C
Physician Assistant (Medical)
1625 STRAITS TPKE
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 759-0666
SUPHICHAYA MUANGMAN M.D.
Internal Medicine (Cardiovascular Disease)
1625 STRAITS TPKE, SUITE 209
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 758-9100
MS. STEPHANIE LAUREN GUNNOUD APRN
Nurse Practitioner
1625 STRAITS TPKE, SUITE 110
MIDDLEBURY, CT 06762
Naugatuck Valley Planning Region (203) 758-8107

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 Shirley Samy's NPI number?

The NPI number for Shirley Samy is 1174598536. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Shirley Samy located?

Shirley Samy practices at 1625 Straits Tpke, Middlebury, CT 06762. The listed phone number is (203) 758-8107.

What is Shirley Samy's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Shirley Samy enrolled in Medicare?

Yes. Shirley Samy 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 organization bills Medicare for Shirley Samy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shirley Samy reassigns Medicare benefits to Hartford Healthcare Medical Group, Inc (Wethersfield, CT). The 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 Shirley Samy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shirley Samy accept?

Health plans from Anthem Blue Cross and Blue Shield list Shirley Samy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shirley Samy was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.