STEVEN SPADERNA – Nurse Practitioner, NPI 1114587193

STEVEN SPADERNA is a healthcare provider. based in Meriden, Connecticut. specializing in NURSE PRACTITIONER. They hold a License No. 12.008260 (CT). The NPI Number for STEVEN SPADERNA is 1114587193

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
STEVEN SPADERNA
NPI
1114587193
Phone
(203) 694-8200
Address
435 Lewis Ave
Enumeration Date
20 June 2019
Last Update Date
2 April 2020

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
2036948200
Graduation Year
2019 (7 years ago)
PAC ID
1759611916
Group Practice PAC ID
7416840699
Professional Enrollment ID
I20191001002468
Address ID
CT064512101ME435XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

4,191 NURSE PRACTITIONER in CT

Provider Addresses for STEVEN SPADERNA

  • 435 Lewis Ave

    Meriden, CT 064512101

    Phone: (203) 694-8200

    Type: Location

  • 921 Boston Tpke

    Bolton, CT 060437479

    Phone: (860) 646-0649

    Type: Location

  • 19, Crystal Ridge Drive, Crystal Lake, Ellington, Tolland County, Connecticut, 06029, United States

    TOLLAND, CT 060842165

    Phone: (860) 916-0455

    Type: Mailing

  • The Hospital of Central Connecticut - New Britain General Campus, 100, Grand Street, New Britain, Hartford County, Connecticut, 06052, United States

    NEW BRITAIN, CT 060522016

    Phone: (860) 224-5305

    Fax: (860) 224-5740

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-10-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191001002468INurse PractitionerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes3730$0
View full utilization report →

Insurance plans in this area (ZIP 06451)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416840699View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)NY
Physician AssistantCT
Internal Medicine, HospitalistTN
Physician AssistantCT
Physician AssistantCT
N E U R O L O G YCT
Physician AssistantCT
Internal MedicineCT
-CT
-CT

Reviews

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Frequently asked questions

Is there an official ID for STEVEN SPADERNA in U.S. healthcare records?
The official identifier for STEVEN SPADERNA is NPI 1114587193.
Is there an active status for STEVEN SPADERNA?
For scheduling context, STEVEN SPADERNA is shown as active in the registry.
How would a patient describe STEVEN SPADERNA's focus?
For STEVEN SPADERNA, the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for STEVEN SPADERNA?
Travel planning: use Meriden, Connecticut as the reference point for STEVEN SPADERNA, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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