Individual provider Active NPI

Natalia Aleksandrovna Sheptukhina, APRN

  • Family Nurse Practitioner
  • Derby, CT
National Provider Identifier
1871276923
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11739 Issued in CT
Practice address
130 Division St
Derby, CT 06418-1326
Phone
(203) 732-1330
Fax
(203) 732-1332
NPI assigned
Aug 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209036057 IL
Family Nurse Practitioner 363LF0000X 4061803 KY
Nurse Practitioner 363L00000X 11739 CT
Family Nurse Practitioner 363LF0000X ARNP.AP.70106242-NP WA
Family Nurse Practitioner 363LF0000X 4704450865 MI
Family Nurse Practitioner 363LF0000X RN2286076 MA
Family Nurse Practitioner 363LF0000X 11739 CT Primary

Addresses

Primary practice location

130 Division St
Derby, CT 06418-1326

Mailing address

67 Maple Ave
Derby, CT 06418-1328
Phone (203) 732-1330

Other practice location 1

135 Main St
Westport, CT 06880-3301
Phone (475) 253-3720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY, MA, WA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20250225001977 CT Practitioner - Nurse Practitioner 9436679107 Reassigns benefits to 2 organizations
I20260220001480 NY Practitioner - Nurse Practitioner 9436679107 Reassigns benefits to 2 organizations
I20260304002032 MA Practitioner - Nurse Practitioner 9436679107 Reassigns benefits to 1 organization
I20260609003903 WA Practitioner - Nurse Practitioner 9436679107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13 Mark Twain Dr
East Hampton, CT 06424-1528

200 Oceangate
Suite 100
Long Beach, CA 90802-4316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2286076MAMDFamily Nurse Practitioner
ARNP.AP.70106242-NPWAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Care Connections, LLC. Nurse Practitioner CurrentSince Dec 1, 2025 Accepting new patients
Griffin Faculty Physicians, Inc. CurrentSince Feb 10, 2025 Accepting new patients
Senior Whole Health of New York, Inc CurrentSince Feb 10, 2026 Accepting new patients
Molina Healthcare of New York, Inc. Nurse Practitioner CurrentSince Feb 10, 2026 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

67 Maple Ave
Derby, CT 06418
Phone (203) 732-0699

130 Division St
Derby, CT 06418
Phone (203) 732-1330

175 Scott Swamp Rd
Farmington, CT 06032
Phone (860) 249-6752

2001 Butterfield Rd
Ste 750
Downers Grove, IL 60515
Phone (630) 381-1757

5100 Commerce Crossings Dr
Louisville, KY 40229
Phone (502) 305-6267

1075 Main St
Fl 4
Waltham, MA 02451

880 W Long Lake Rd
Troy, MI 48098
Phone (248) 227-6316

2900 Exterior St
Ste 202
Bronx, NY 10463
Phone (607) 238-5357

15 Metrotech Ctr
Fl 11
Brooklyn, NY 11201
Phone (718) 923-7100

5232 Witz Dr
North Syracuse, NY 13212
Phone (315) 632-5960

3000 Corporate Exchange Dr
Columbus, OH 43231
Phone (614) 942-3042

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": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1871276923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MAPLE AVE",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181328",
            "telephone_number": "203-732-1330",
            "fax_number": "203-732-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 DIVISION ST",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181326",
            "telephone_number": "203-732-1330",
            "fax_number": "203-732-1332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Main St",
            "address_purpose": "LOCATION",
            "city": "Westport",
            "state": "CT",
            "postal_code": "068803301",
            "country_code": "US",
            "telephone_number": "475-253-3720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPTUKHINA",
        "first_name": "NATALIA",
        "middle_name": "ALEKSANDROVNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209036057",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4061803",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "11739",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "ARNP.AP.70106242-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704450865",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2286076",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "11739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, CT

Sources for this page

Verify at the official NPI Registry.