Individual provider Active NPI

Sharon Pettway-Stewart

  • Family Nurse Practitioner
  • Hamden, CT
National Provider Identifier
1548679350
Registry record updated Mar 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5815 Issued in CT
Practice address
2045 Dixwell Ave
Hamden, CT 06514-2405
Phone
(866) 389-2727
NPI assigned
Aug 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2025

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 5815 CT Primary

Addresses

Primary practice location

2045 Dixwell Ave
Hamden, CT 06514-2405

Mailing address

2045 Dixwell Ave
Hamden, CT 06514-2405
Phone (866) 389-2727

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
I20140911001968 CT Practitioner - Nurse Practitioner 2466671102 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Urgent Care Centers LLCGroup PAC ID 7618242777, 201 clinicians
MC Diagnostic of Connecticut, P.C.Group PAC ID 0941382113, 66 clinicians

Practice addresses (Care Compare)

1061 W Main St
Branford, CT 06405-3430
Phone (860) 207-8942

2335 Dixwell Ave
Hamden, CT 06514-2100
Phone (203) 800-7174

385 W Main St
Avon, CT 06001-4357
Phone (860) 777-6977

7 Durant Ave
Bethel, CT 06801-1906
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
86.34 of 100Reported as group
Quality
82.53
Improvement activities
40
Cost
86.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Primary Care Connecticut PLLC Family CurrentSince Jun 4, 2025 Accepting new patients
Northeast Medical Group, Inc. CurrentSince Nov 23, 2015 Accepting new patients
Hartford Healthcare Urgent Care Centers, LLC CurrentSince Nov 1, 2024 Accepting new patients
MC Diagnostic of Connecticut, P.C. Family CurrentSince Apr 25, 2016 Accepting new patients
Absolute Outcomes, LLC Past Accepting new patients

Locations

385 W Main St
Avon, CT 06001
Phone (860) 777-1280

7 Durant Ave
Bethel, CT 06801
Phone (203) 794-9500

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

3514 Main St
Coventry, CT 06238
Phone (860) 298-5925

2045 Dixwell Ave
Hamden, CT 06514
Phone (203) 243-1230

1239 E Putnam Ave
Riverside, CT 06878
Phone (203) 675-9805

323 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 384-9666

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: sharon.pettway-stewart@xdr.hhchealthdirect.org
  • Direct secure messaging: spettwaystewart326197@direct.ynhh.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740787200000",
    "number": "1548679350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065142405",
            "telephone_number": "866-389-2727",
            "fax_number": "203-230-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065142405",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTWAY-STEWART",
        "first_name": "SHARON",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2025-03-01",
        "certification_date": "2025-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "5815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.