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MS. SHAWNECIA HEADLEY MSN-FNP
NPI 1750063616
Nurse Practitioner - Family in Waterbury, CT

Active since August 01, 2023PECOS EnrolledAccepts Medicare Assignment
8 S COMMONS RD, WATERBURY, CT 06704(203) 759-1229 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Ms. Shawnecia Headley Msn-fnp NPPES

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

MS. SHAWNECIA HEADLEY MSN-FNP (NPI 1750063616) is an individual family provider in Waterbury, Connecticut, licensed in Connecticut (12177) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Haven, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1750063616
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SHAWNECIA HEADLEYCredential: MSN-FNP
Location Address8 S COMMONS RDWaterbury, CT 06704-1035
Mailing Address84 Lawn StBridgeport, CT 06606-4916 · (203) 260-3399
Phone(203) 759-1229
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 1, 2023
Last NPPES UpdateMay 7, 2026
NPPES CertifiedMay 7, 2026
✔ NPI 1750063616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 12177
8 S COMMONS RD, Waterbury, CT 06704
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Cellini Pl Ste 102West Haven, CT 06516-1666 · Phone (203) 932-6481 · Fax (203) 932-4051

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

Ms. Shawnecia Headley Msn-fnp 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 ID547623928
PECOS Enrollment IDI20230901000518
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 06704 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.

Other Providers at the Same Location NPPES 11

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

DR. ALEXANDER J BACKUS DPT
Physical Therapist
8 S COMMONS RD
WATERBURY, CT 06704
Naugatuck Valley Planning Region (203) 759-1229
SHELBY MATA
Physical Therapist
8 S COMMONS RD
WATERBURY, CT 06704
Naugatuck Valley Planning Region (203) 759-1229
SANDRA BERTACCINI
Preventive Medicine (Occupational Medicine)
8 S COMMONS RD
WATERBURY, CT 06704
Naugatuck Valley Planning Region (123) 456-7890
MARC RUMILLY PA
Physician Assistant
8 S COMMONS RD
WATERBURY, CT 06704
Naugatuck Valley Planning Region (203) 759-1229
REBECCA CYR
Physical Therapist
8 S COMMONS RD
WATERBURY, CT 06704
Naugatuck Valley Planning Region (203) 759-1229
BRIANA ROSE AVITABLE
Physical Therapist
8 S COMMONS RD
WATERBURY, CT 06704
Naugatuck Valley Planning Region (203) 759-1229
NICOLE HOEFER DPT
Physical Therapist
8 S COMMONS RD
WATERBURY, CT 06704
Naugatuck Valley Planning Region (203) 759-1229
SAMANTHA E.Z. STRONG PT
Physical Therapist
8 S COMMONS RD, UNIT 10B
WATERBURY, CT 06704
Naugatuck Valley Planning Region (203) 759-1229

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 Shawnecia Headley's NPI number?

The NPI number for Shawnecia Headley is 1750063616. It was assigned to this individual provider in the NPPES registry on August 1, 2023.

Where is Shawnecia Headley located?

Shawnecia Headley practices at 8 S Commons Rd, Waterbury, CT 06704. The listed phone number is (203) 759-1229.

What is Shawnecia Headley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shawnecia Headley enrolled in Medicare?

Yes. Shawnecia Headley 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 Shawnecia Headley was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.