Individual provider Active NPI

Shanag Malik, APRN

  • Nurse Practitioner
  • Westport, CT
National Provider Identifier
1477430585
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
15229 Issued in CT
Practice address
300 Post Rd W
Westport, CT 06880-4703
Phone
(203) 226-2490
Fax
(203) 226-2491
NPI assigned
Aug 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 15229 CT Primary

Addresses

Primary practice location

300 Post Rd W
Westport, CT 06880-4703

Mailing address

300 Post Rd W Ste 101
Westport, CT 06880-4703
Phone (203) 226-2490

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
I20251106003121 CT Practitioner - Nurse Practitioner 8426548660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

300 Post Rd W
FL 1
Westport, CT 06880-4703
Phone (203) 332-3272

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15229CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC Nurse Practitioner CurrentSince Oct 17, 2025 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Oct 17, 2025 Accepting new patients

Locations

205 Sub Way
Ste 200
Milford, CT 06461

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

300 Post Rd W
Westport, CT 06880
Phone (203) 226-2490

300 Post Rd W
Ste 101
Westport, CT 06880
Phone (203) 226-2490

300 Post Rd W
Fl 1
Westport, CT 06880
Phone (203) 332-3272

60 Danbury Rd
Ste 101
Wilton, CT 06897
Phone (203) 926-8835

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1477430585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 POST RD W STE 101",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804703",
            "telephone_number": "203-226-2490",
            "fax_number": "203-226-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 POST RD W",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804703",
            "telephone_number": "203-226-2490",
            "fax_number": "203-226-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "SHANAG",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "15229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

Verify at the official NPI Registry.