DR. STEPHANIE PETTINGLE (APRN DNP) – Family Nurse Practitioner, NPI 1205258605
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,191 NURSE PRACTITIONER in CT
Provider Addresses for DR. STEPHANIE PETTINGLE (APRN DNP)
67 MAPLE AVE
DERBY, CT 064181328
Phone: (203) 732-1330
Fax: (203) 732-1332
Type: Mailing
110 COMMERCE DR
SHELTON, CT 064846244
Phone: (203) 929-7331
Fax: (203) 925-0330
Type: Location
4 CORPORATE DR STE 394
SHELTON, CT 064846240
Phone: (203) 225-0375
Type: Mailing
4 CORPORATE DR
SHELTON, CT 064846211
Phone: (203) 225-0375
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $350.
Total Amount is formed as General ($350) + Research ($0) + Ownership ($0) = $350.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Novo Nordisk Inc ($137).
Total Amount
$350
General + Research + Ownership
Payments
15
Total payment records
General Amount
$350
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2015-10-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151016000343 | I | Nurse Practitioner | CT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 35 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 22 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 16 | 16 | $0 |
Insurance plans in this area (ZIP 06418)
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