1. Home
  2. Directory
  3. Connecticut
  4. Meriden
  5. Physician Assistant
  6. NPI Profile

SHAYLAH MARIE RENZULLO PA
NPI 1487338307
Physician Assistant in Meriden, CT

Active since June 12, 2023PECOS EnrolledAccepts Medicare Assignment
435 LEWIS AVE, MERIDEN, CT 06451(203) 694-8200 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2025, Jun 12, 2023 (2 updates tracked since 2023).

About Shaylah Marie Renzullo Pa NPPES

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

SHAYLAH MARIE RENZULLO PA (NPI 1487338307) is an individual physician assistant in Meriden, Connecticut, licensed in Connecticut (7247) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1487338307
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHAYLAH MARIE RENZULLOCredential: PA
Location Address435 LEWIS AVEMeriden, CT 06451-2101
Mailing Address71 Haynes StManchester, CT 06040-4131 · (860) 647-4777 · Fax (860) 647-6862
Phone(203) 694-8200
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 12, 2023
Last NPPES UpdateOctober 6, 20252 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1487338307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CT · 7247
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
435 LEWIS AVE, Meriden, CT 06451
Open in Google Maps ↗

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

Shaylah Marie Renzullo Pa 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 ID1759877913
PECOS Enrollment IDI20251226001754
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 06451 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
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. JORGE ALEJANDRO CARDENAS MD
Emergency Medicine
435 LEWIS AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 694-8200
AMRITLAL MANJI DALSANIA MD
Anesthesiology
435 LEWIS AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 694-8164
HENRY VLADYKA PA
Physician Assistant (Surgical)
435 LEWIS AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 694-8200
CASSIDY ELM
Registered Nurse (Emergency)
435 LEWIS AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 694-8200
GABRIELLA RIOS
Physician Assistant (Medical)
435 LEWIS AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 694-8433
ANTHONY JOSEPH BOGUSLAWSKI
Physician Assistant
435 LEWIS AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (203) 694-8200
LISA M PRANGER
Dietitian, Registered
435 LEWIS AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (860) 696-6287
SPINE AND PAIN INSTITUTE AT MIDSTATE LLC
Pain Medicine (Interventional Pain Medicine)
435 LEWIS AVE
MERIDEN, CT 06451
South Central Connecticut Planning Region (860) 696-2843

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 Shaylah Renzullo's NPI number?

The NPI number for Shaylah Renzullo is 1487338307. It was assigned to this individual provider in the NPPES registry on June 12, 2023.

Where is Shaylah Renzullo located?

Shaylah Renzullo practices at 435 Lewis Ave, Meriden, CT 06451. The listed phone number is (203) 694-8200.

What is Shaylah Renzullo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shaylah Renzullo enrolled in Medicare?

Yes. Shaylah Renzullo 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 Shaylah Renzullo was last updated on October 6, 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.