Individual provider Active NPI

Sheila Ann Crerend, APRN , CPNP

  • Pediatric Nurse Practitioner
  • New Haven, CT
National Provider Identifier
1659868420
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
6940 Issued in CT
Practice address
20 York St
New Haven, CT 06510-3220
Phone
(203) 688-2323
NPI assigned
Apr 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 6940 CT Primary

Addresses

Primary practice location

20 York St
New Haven, CT 06510-3220

Mailing address

630 Ponus RDG
New Canaan, CT 06840-3407
Phone (203) 984-2766

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
I20230807001020 CT Practitioner - Nurse Practitioner 9739540733 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeport Hospital CurrentSince Sep 1, 2023 Accepting new patients
Bridgeport Hospital CurrentSince Sep 1, 2023 Accepting new patients
Greenwich Hospital CurrentSince Jun 19, 2025 Accepting new patients
Greenwich Hospital CurrentSince Jun 19, 2025 Accepting new patients

Locations

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

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

500 W Putnam Ave
Greenwich, CT 06830
Phone (203) 869-2510

789 Howard Ave
North Haven, CT 06519
Phone (203) 688-2471

Interoperability endpoints

  • Direct secure messaging: screrend13589@direct.ynhh.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1659868420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 PONUS RDG",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068403407",
            "telephone_number": "203-984-2766",
            "fax_number": "203-966-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREREND",
        "first_name": "SHEILA",
        "middle_name": "ANN",
        "credential": "APRN , CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "6940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.