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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since September 14, 2015PECOS Enrolled
60 WASHINGTON AVE, HAMDEN, CT 06518(203) 288-0414(203) 288-3655 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 8, 2026, Mar 27, 2017, Mar 24, 2017 (3 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 Hamden, Connecticut, licensed in Connecticut (6878) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in New Haven.

NPPES Registry Identity

NPI1982072591
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSHANNON P KUKULKACredential: APRN
Location Address60 WASHINGTON AVEHamden, CT 06518-3271
Mailing Address60 Washington Ave Ste 203Hamden, CT 06518-3257 · (203) 288-0414 · Fax (203) 288-3655
Phone(203) 288-0414
Fax(203) 288-3655
Sole ProprietorNo
Enumeration DateSeptember 14, 2015
Last NPPES UpdateOctober 8, 20263 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ 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
60 WASHINGTON AVE, Hamden, CT 06518
Open in Google Maps ↗

Secondary Practice Location 1

Location 1874 Howard AveNew Haven, CT 06519-1106 · Phone (203) 688-6361 · Fax (203) 688-9354

Other Identifiers 8

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shannon Kukulka reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric And Adult Psychiatry, LLC
Same address
Mental Health
60 WASHINGTON AVE, SUITE 203
Hamden, CT 06518
  • Reassigned Medicare billing, Connecticut enrollment
  • 7 clinicians in this Medicare group
NPI 1770791493 (203) 288-0414
Mill Hill Medical Consultants Inc
5.9 mi
Hospitalist
20 YORK ST, CB 2041
New Haven, CT 06510
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Northeast Medical Group Inc
  • 1,824 clinicians in this Medicare group
NPI 1952624769 (203) 688-4741

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06518 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 20

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

GITA SAFAIAN DMD
Dentist (Endodontics)
60 WASHINGTON AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 281-6574
ENRIQUE J TELLO MD
Psychiatry & Neurology (Psychiatry)
60 WASHINGTON AVE, SUITE 304
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 281-2890
KAREN ORZACK-MOORE LCSW
Social Worker (Clinical)
60 WASHINGTON AVE, SUITE 304
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 281-2890
LISA FILLMORE MD
Psychiatry & Neurology (Psychiatry)
60 WASHINGTON AVE, SUITE 304
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 281-2890
DOUGLAS A BERV MD
Psychiatry & Neurology (Psychiatry)
60 WASHINGTON AVE, SUITE 102
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 407-6400
MRS. CATHERINE K FORREST APRN
Counselor (Mental Health)
60 WASHINGTON AVE, SUITE 203
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 288-0414
NANCY ATWOOD LCSW
Social Worker
60 WASHINGTON AVE, SUITE 304
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 281-2890
ANN PRESTON ROSELLE ACNP
Nurse Practitioner (Psychiatric/Mental Health)
60 WASHINGTON AVE
HAMDEN, CT 06518
South Central Connecticut Planning Region (203) 288-0414

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 60 Washington Ave, Hamden, CT 06518. The listed phone number is (203) 288-0414.

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.

Which organizations bill Medicare for Shannon Kukulka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Kukulka reassigns Medicare benefits to 2 organizations: Geriatric And Adult Psychiatry, LLC (Hamden, CT) and Mill Hill Medical Consultants Inc (New Haven, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Kukulka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Kukulka was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.