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SHADY TAVERAS PMHNP
NPI 1730501727
Nurse Practitioner - Psychiatric/Mental Health in Bridgeport, CT

Active since January 10, 2014PECOS EnrolledAccepts Medicare Assignment
346 DAYTON RD, BRIDGEPORT, CT 06606(203) 450-6515(959) 666-8678 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2025, Mar 4, 2025 (2 updates tracked since 2025).

About Shady Taveras Pmhnp NPPES

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

SHADY TAVERAS PMHNP (NPI 1730501727) is an individual psychiatric/mental health provider in Bridgeport, Connecticut, licensed in Connecticut (14273) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1730501727
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHADY TAVERASCredential: PMHNP
Location Address346 DAYTON RDBridgeport, CT 06606-3112
Mailing Address346 Dayton RdBridgeport, CT 06606-3112 · (203) 450-6515
Phone(203) 450-6515
Fax(959) 666-8678
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 10, 2014
Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1730501727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CT · 14273
346 DAYTON RD, Bridgeport, CT 06606
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Other Names 1

Professional Name (2)Shady Fequiere Pmhnp

Other Identifiers 3

Medicaid008042339CT
Medicaid008023170CT
Medicaid008024427CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Shady Taveras Pmhnp 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 ID8729501861
PECOS Enrollment IDI20250328002384
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 06606 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.

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 Shady Taveras's NPI number?

The NPI number for Shady Taveras is 1730501727. It was assigned to this individual provider in the NPPES registry on January 10, 2014. The provider is also known as Shady Fequiere Pmhnp.

Where is Shady Taveras located?

Shady Taveras practices at 346 Dayton Rd, Bridgeport, CT 06606. The listed phone number is (203) 450-6515.

What is Shady Taveras's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shady Taveras enrolled in Medicare?

Yes. Shady Taveras 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.

What insurance does Shady Taveras accept?

Health plans from Providence Health Plan list Shady Taveras 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 Shady Taveras was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.