DR. STEPHANIE PETTINGLE APRN DNP
NPI 1205258605
Nurse Practitioner - Family in Shelton, CT
About Dr. Stephanie Pettingle Aprn Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STEPHANIE PETTINGLE APRN DNP (NPI 1205258605) is an individual family provider in Shelton, Connecticut, licensed in Connecticut (5676) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Stephanie Pettingle Aprn Dnp 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
4Medicare enrollment records show Stephanie Pettingle reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Derby, CT 06418
- Reassigned Medicare billing, Connecticut enrollment
- 190 clinicians in this Medicare group
Bridgeport, CT 06610
- Reassigned Medicare billing, Connecticut enrollment
- 1,824 clinicians in this Medicare group
Farmington, CT 06032
- Reassigned Medicare billing, Connecticut enrollment
- 140 clinicians in this Medicare group
East Hartford, CT 06108
- Reassigned Medicare billing, Connecticut enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06484 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SHELTON, CT 06484
SHELTON, CT 06484
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 Stephanie Pettingle's NPI number?
The NPI number for Stephanie Pettingle is 1205258605. It was assigned to this individual provider in the NPPES registry on January 20, 2014.
Where is Stephanie Pettingle located?
Stephanie Pettingle practices at 4 Corporate Dr, Shelton, CT 06484. The listed phone number is (203) 225-0375.
What is Stephanie Pettingle's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stephanie Pettingle enrolled in Medicare?
Yes. Stephanie Pettingle 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 Stephanie Pettingle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Pettingle reassigns Medicare benefits to 4 organizations: Griffin Faculty Physicians, Inc. (Derby, CT), Northeast Medical Group, Inc. (Bridgeport, CT), Connecticut Mental Health Specialists Inc (Farmington, CT) and Horizon Family Medicine LLC (East 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 Stephanie Pettingle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephanie Pettingle accept?
Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan list Stephanie Pettingle 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 Stephanie Pettingle was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Dr. Stephanie Pettingle, APRN DNP · NPI 1205258605
Family physician in Shelton, Connecticut. Individual provider, active in the CMS NPPES registry since January 20, 2014.
## Identity
- **NPI:** 1205258605 (Entity type: Individual)
- **Enumerated:** January 20, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5676 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 4 CORPORATE DR, Shelton, CT 06484-6211
- **Phone:** (203) 225-0375
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Griffin Faculty Physicians, Inc. (NPI 1598755605, Derby, CT); Northeast Medical Group, Inc. (NPI 1043278351, Bridgeport, CT); Connecticut Mental Health Specialists Inc (NPI 1053362814, Farmington, CT); Horizon Family Medicine LLC (NPI 1942944582, East Hartford, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** August 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1205258605) · Data from the CMS NPPES public registry.