Individual provider Active NPI

Sheldon Leigh Stock, APRN

  • Acute Care Nurse Practitioner
  • Bloomfield, CT
National Provider Identifier
1508224437
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
6459 Issued in CT
Practice address
35 Jolley Dr Ste 203
Bloomfield, CT 06002-4228
Phone
(860) 769-9866
NPI assigned
Feb 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 6459 CT Primary

Addresses

Primary practice location

35 Jolley Dr Ste 203
Bloomfield, CT 06002-4228

Mailing address

35 Jolley Dr Ste 203
Bloomfield, CT 06002-4228
Phone (860) 769-9866

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sstock@ghneph.com Direct
Direct Messaging Address sstock@ghneph.com Direct

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
I20160519001158 CT Practitioner - Nurse Practitioner 3779872452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Hartford Nephrology LLCGroup PAC ID 5991772212, 8 clinicians

Practice addresses (Care Compare)

35 Jolley Dr
Suite 203
Bloomfield, CT 06002-4228
Phone (860) 769-9866

Hospital & facility affiliations

  • St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6459CTMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Hartford Nephrology, LLC CurrentSince Apr 21, 2016 Accepting new patients

Locations

35 Jolley Dr
Ste 203
Bloomfield, CT 06002
Phone (860) 769-7302

701 Cottage Grove Rd
Ste B220
Bloomfield, CT 06002
Phone (860) 769-9866

Interoperability endpoints

  • Direct secure messaging: sheldon.stock@direct.davitaphysiciansolutions.com

Organizations & group practices 1

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 3

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": "1454716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1508224437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 JOLLEY DR STE 203",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060024228",
            "telephone_number": "860-769-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 JOLLEY DR STE 203",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060024228",
            "telephone_number": "860-769-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCK",
        "first_name": "SHELDON",
        "middle_name": "LEIGH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-06",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CT",
            "license": "6459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sstock@ghneph.com",
            "affiliation": "N",
            "endpointDescription": "Trinity Health of New England Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "35 Jolley Dr Ste 203",
            "city": "Bloomfield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060024228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sstock@ghneph.com",
            "affiliation": "N",
            "endpointDescription": "Trinity Health of New England Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "35 Jolley Dr Ste 203",
            "city": "Bloomfield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060024228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.