Individual provider Active NPI

Samentha Gilles, APRN-BC

  • Family Nurse Practitioner
  • Shelton, CT
National Provider Identifier
1063281624
Registry record updated Jan 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
012738 Issued in CT
Practice address
3 Armstrong Rd # 1053
Shelton, CT 06484-4706
Phone
(203) 913-4061
Fax
(203) 734-2363
NPI assigned
Dec 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 012738 CT Primary

Addresses

Primary practice location

3 Armstrong Rd # 1053
Shelton, CT 06484-4706

Mailing address

119 Old Ansonia Rd
Seymour, CT 06483-3512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240301003027 CT Practitioner - Nurse Practitioner 0446695274 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians
Margaret Chustecka Internal Medicine of Greater New HavenGroup PAC ID 3274557152, 30 clinicians

Practice addresses (Care Compare)

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681

1952 Whitney Ave
Hamden, CT 06517-1209
Phone (203) 848-1803

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
012738CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret Chustecka Internal Medicine of Greater New Haven Family CurrentSince Aug 16, 2024 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince May 10, 2024 Accepting new patients
Proactive Health Care Management,LLC Family CurrentSince Dec 19, 2023 Accepting new patients
Optimum Medical Services PLLC CurrentSince Feb 9, 2026 Accepting new patients

Locations

845 Paddock Ave
Meriden, CT 06450
Phone (203) 238-2645

475 High St
Mystic, CT 06355
Phone (860) 536-6070

1952 Whitney Ave
Ste 3
New Haven, CT 06517
Phone (203) 288-0129

1952 Whitney Ave
New Haven, CT 06517
Phone (203) 553-7626

175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452

3 Armstrong Rd
Shelton, CT 06484
Phone (203) 913-4061

2900 Main St
Ste 2A
Stratford, CT 06614
Phone (203) 377-0665

98 Elm St
West Haven, CT 06516
Phone (203) 933-6974

385 Main St
West Haven, CT 06516
Phone (203) 848-6710

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769212800000",
    "number": "1063281624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 OLD ANSONIA RD",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064833512",
            "fax_number": "203-734-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ARMSTRONG RD # 1053",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844706",
            "telephone_number": "203-913-4061",
            "fax_number": "203-734-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLES",
        "first_name": "SAMENTHA",
        "credential": "APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-25",
        "last_updated": "2026-01-24",
        "certification_date": "2026-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "012738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.