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SHANNON P KUKULKA APRN
NPI 1982072591
Nurse Practitioner - Gerontology in New Haven, CT

Active since September 14, 2015PECOS Enrolled
874 HOWARD AVE, NEW HAVEN, CT 06519(203) 688-8200(203) 688-8200 Get Directions Write a Review

NPPES record last updated: January 3, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 27, 2017, Mar 24, 2017 (2 updates tracked since 2017).

About Shannon P Kukulka Aprn NPPES

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

SHANNON P KUKULKA APRN (NPI 1982072591) is an individual gerontology provider in New Haven, Connecticut, licensed in Connecticut (6878) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982072591
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSHANNON P KUKULKACredential: APRN
Location Address874 HOWARD AVENew Haven, CT 06519-1106
Mailing Address874 Howard AveNew Haven, CT 06519-1106 · (203) 688-8200 · Fax (203) 688-8200
Phone(203) 688-8200
Fax(203) 688-8200
Sole ProprietorNo
Enumeration DateSeptember 14, 2015
Last NPPES UpdateJanuary 3, 20182 updates tracked since enumeration
✔ NPI 1982072591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in CT · 6878
874 HOWARD AVE, New Haven, CT 06519
Open in Google Maps ↗

Other Identifiers 8

Other1982072591CT · Anthem
OtherP5602305CT · Oxford
OtherAA533003CT · Harvard Pilgrim
Medicaid1982072591CT
Other1982072591CT · Multiplan
Other4869372CT · Aetna
Other6028631CT · Cigna
Other1982072591CT · United Healthcare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon P Kukulka Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 06519 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 16

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

DR. SUSANN VARANO I MD
Internal Medicine (Geriatric Medicine)
874 HOWARD AVE, BASEMENT, ROOM 007
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 688-8200
MR. JOHN T DUNLOP MD
Internal Medicine
874 HOWARD AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 688-8200
DR. MARCIA CATHLEEN MECCA M.D.
Internal Medicine (Geriatric Medicine)
874 HOWARD AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 763-9829
ANN R DATUNASHVILI M.D.
Internal Medicine (Geriatric Medicine)
874 HOWARD AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 688-8200
DERMOT M MCDERMOTT PA-C
Physician Assistant (Medical)
874 HOWARD AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 688-8200
HEIDI W NOLAN PA-C
Physician Assistant (Medical)
874 HOWARD AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 688-8200
HSIAO-YING CHIN M.D.
Internal Medicine (Geriatric Medicine)
874 HOWARD AVE, BASEMENT - ROOM 007
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 688-8200
LEEN BAKKALI MD
Internal Medicine (Geriatric Medicine)
874 HOWARD AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 688-8200

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 Kukulka's NPI number?

The NPI number for Shannon Kukulka is 1982072591. It was assigned to this individual provider in the NPPES registry on September 14, 2015.

Where is Shannon Kukulka located?

Shannon Kukulka practices at 874 Howard Ave, New Haven, CT 06519. The listed phone number is (203) 688-8200.

What is Shannon Kukulka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Shannon Kukulka enrolled in Medicare?

Yes. Shannon Kukulka is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Kukulka was last updated on January 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.