Individual provider Active NPI

Susan Shafer, CRNA

  • Certified Registered Nurse Anesthetist
  • Farmington, CT
National Provider Identifier
1306986443
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
004087 Issued in CT
Practice address
263 Farmington Ave
Farmington, CT 06032-1956
Phone
(860) 679-2000
NPI assigned
Feb 7, 2007
Last updated
May 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X E54330 CT
Certified Registered Nurse Anesthetist 367500000X RN10023370 MA
Certified Registered Nurse Anesthetist 367500000X 004087 CT Primary

Addresses

Primary practice location

263 Farmington Ave
Farmington, CT 06032-1956

Mailing address

99 East River Drive
5TH Floor
East Hartford, CT 06108-7301
Phone (860) 282-0833

Other practice location 1

2 Trap Falls Rd
Suite 414
Shelton, CT 06484-4616
Phone (203) 929-4595

Other practice location 2

759 Chestnut St
Springfield, MA 01107-1619
Phone (413) 795-0754

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sshafer10435@direct.med.uchc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090717000210 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799837217 Reassigns benefits to 6 organizations
I20250512001545 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799837217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians
Stamford Anesthesiology Services PCGroup PAC ID 9335191667, 48 clinicians
Charter Anesthesiology LLCGroup PAC ID 2163763830, 34 clinicians
Resource Anesthesiology Associates of CT PCGroup PAC ID 7517991052, 28 clinicians

Practice addresses (Care Compare)

280 Chestnut St
Suite 2
Springfield, MA 01199-1001

4 Hospital PLZ
Stamford, CT 06902-3602
Phone (203) 276-1000

41 Brewster Rd
Bristol, CT 06010-5161
Phone (800) 585-3000

540 Litchfield St
Torrington, CT 06790-6679
Phone (860) 496-6666

759 Chestnut St
Springfield, MA 01199-1001
Phone (413) 794-5439

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
74.19
Improvement activities
40
Cost
73.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
4087CTMDProfessional Counselor
E54330CTMDRegistered Nurse
004087CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Gi PLLC CurrentSince Jan 1, 2022 Accepting new patients
North American Partners in Anesthesia Connecticut PC CurrentSince Jan 23, 2022 Accepting new patients
Resource Anesthesiology Associates of CT PC Nurse Anesthetist, Certified Registered CurrentSince Jul 3, 2021 Accepting new patients
Baystate Medical Practices, Inc CurrentSince May 6, 2025 Accepting new patients
Charter Anesthesiology LLC CurrentSince Jan 1, 2025 Accepting new patients
Integrated Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2014 Accepting new patients

Locations

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

263 Farmington Ave
Farmington, CT 06032
Phone (860) 679-1706

263 Farmington Ave
#6305
Farmington, CT 06032

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571

99 E River Dr
Fl 5
Hartford, CT 06108
Phone (860) 282-4022

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

505 Willard Ave
Newington, CT 06111
Phone (860) 224-6709

440 New Britain Ave
Plainville, CT 06062
Phone (860) 793-0500

30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131

2 Trap Falls Rd
Ste 414
Shelton, CT 06484
Phone (203) 929-4595

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

539 Danbury Rd
Wilton, CT 06897
Phone (203) 834-7700

280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385

759 Chestnut St
Springfield, MA 01107
Phone (413) 794-6297

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

Organizations & group practices 7

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

Hospital & facility affiliations 4

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1306986443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 EAST RIVER DRIVE",
            "address_2": "5TH FLOOR",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061087301",
            "telephone_number": "860-282-0833",
            "fax_number": "203-929-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321956",
            "telephone_number": "860-679-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Trap Falls Rd",
            "address_2": "Suite 414",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "CT",
            "postal_code": "064844616",
            "country_code": "US",
            "telephone_number": "203-929-4595",
            "fax_number": "203-929-0756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "759 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011071619",
            "country_code": "US",
            "telephone_number": "413-795-0754",
            "fax_number": "413-794-5439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "SUSAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "E54330",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN10023370",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "004087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sshafer10435@direct.med.uchc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "263 Farmington Ave",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060321956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.