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SHANNON SERRA
NPI 1396412722
Nurse Practitioner in New Haven, CT

Active since August 24, 2021PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
333 CEDAR STREET, TMP 3, NEW HAVEN, CT 06510(203) 785-2802(203) 785-6664 Get Directions Write a Review

NPPES record last updated: September 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Serra NPPES

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

SHANNON SERRA (NPI 1396412722) is an individual nurse practitioner in New Haven, Connecticut, licensed in Connecticut (009935) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1396412722
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHANNON SERRA
Location Address333 CEDAR STREET, TMP 3New Haven, CT 06510
Mailing Address333 Cedar Street, Tmp 3New Haven, CT 06510 · (203) 785-2802 · Fax (203) 785-6664
Phone(203) 785-2802
Fax(203) 785-6664
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 24, 2021
Last NPPES UpdateSeptember 3, 2021
NPPES CertifiedSeptember 3, 2021
✔ NPI 1396412722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CT · 009935
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
333 CEDAR STREET, TMP 3, New Haven, CT 06510
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Serra 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 ID1456740505
PECOS Enrollment IDI20211111002317
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARIEL EMILY POOLE M.D./M.P.H.
Anesthesiology
333 CEDAR STREET, TMP 3, DEPARTMENT OF ANESTHESIA
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 737-1549
DR. THOMAS L DENKER M.D.
Anesthesiology
333 CEDAR STREET, TMP 3
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-2802
CHRISTINA FATSE CRNA
Nurse Anesthetist, Certified Registered
333 CEDAR STREET, TMP 3
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-2802
ALENA S RADY D.O.
Anesthesiology
333 CEDAR STREET, TMP 3, YUSM DEPT OF ANESTHESIOLOGY
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-2802

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 Serra's NPI number?

The NPI number for Shannon Serra is 1396412722. It was assigned to this individual provider in the NPPES registry on August 24, 2021.

Where is Shannon Serra located?

Shannon Serra practices at 333 Cedar Street, Tmp 3, New Haven, CT 06510. The listed phone number is (203) 785-2802.

What is Shannon Serra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shannon Serra enrolled in Medicare?

Yes. Shannon Serra 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.

When was this NPI record last updated?

The NPPES record for Shannon Serra was last updated on September 3, 2021. 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.