Kaitlin Shaughnessy, PA-C
Individual provider Active NPI Physician Assistant · Hartford, CT
NPI 1972095495 · NPPES record last updated May 31, 2018
Key facts
- NPI
- 1972095495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 32 Seymour St
Hartford, CT 06106 - Phone
- (855) 442-4373
- NPI assigned
- May 31, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthopedic Associates of Hartford,PC
Hartford Hospital
Practice addresses (Care Compare)
150 Enterprise Dr
Rocky Hill, CT 06067-3579
Phone (860) 549-8276
201 N Mountain Rd
Suite 302
Plainville, CT 06062-1848
Phone (860) 612-6800
31 Seymour St
Suite 100
Hartford, CT 06106-5521
Phone (860) 549-3210
345 Western Blvd
Glastonbury, CT 06033-4380
Phone (860) 549-3210
80 Seymour St
Hartford, CT 06102-8000
Hospital & facility affiliations
- Hartford Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.04 of 100
- Quality
- 98.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.07
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.63 of 100
- Quality
- 75.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.44
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181211002541 | CT | Practitioner - Physician Assistant | 9335483742 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Hospital | Current |
Accepting new patients | |
| Orthopedic Associates of Hartford,PC | Current |
Accepting new patients | |
| Orthopedic Associates of Hartford,PC | Current |
Accepting new patients |
Locations
31 Seymour St
Ste 100
Hartford, CT 06106
Phone (860) 549-8208
32 Seymour St
Hartford, CT 06106
Phone (860) 972-1128
Interoperability endpoints
- kaitlin.shaughnessy@xdr.hhchealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
32 Seymour St
Hartford, CT 06106
Mailing address
25 Rudden LN
Colchester, CT 06415-2807
Phone (860) 304-2262
Other providers in Hartford, CT
- Vishruti Sharma
- Sharon Clato-Day Counseling LCSW LLC
- Elizabeth Scharf Sharp
- Robin L Sharp
- Paul Elias Shashaty
- Elene Shavgulidze
- O'Moy Shaw-Lindo
- Howard Andrew Shaw
- Jeff Shaw
- Patrick Shaw
All providers in Hartford, CT · Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.