SERECA STEWART – Family Nurse Practitioner, NPI 1295560803

SERECA STEWART is a healthcare provider. based in Stratford, Connecticut. specializing in NURSE PRACTITIONER. They hold a License No. 13949 (CT). The NPI Number for SERECA STEWART is 1295560803

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
SERECA STEWART
NPI
1295560803
Phone
(914) 320-3401
Address
70 DEEPWOOD RD
Enumeration Date
4 September 2024
Last Update Date
2 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2032382645
Graduation Year
2022 (4 years ago)
PAC ID
5890216055
Group Practice PAC ID
8022497874
Professional Enrollment ID
I20250305000778
Address ID
CT064507021ME845XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

4,196 NURSE PRACTITIONER in CT

Provider Addresses for SERECA STEWART

  • 70 DEEPWOOD RD

    STRATFORD, CT 066141109

    Phone: (914) 320-3401

    Mailing address matches the actual address.

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: 2025-03-05

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
I20250305000778INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06614)

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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: 8022497874View full group profile
NameSpecialtyState
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerNY
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerCT
Nurse PractitionerCT

Reviews

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Frequently asked questions

Can I cross-check SERECA STEWART using NPI 1295560803?
NPI 1295560803 belongs to SERECA STEWART; compare other details if you need extra assurance.
Is SERECA STEWART shown as active in public data?
Registry records indicate SERECA STEWART maintains an active NPI.
What area of care is associated with SERECA STEWART?
SERECA STEWART's record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SERECA STEWART associated with Stratford?
Public fields place SERECA STEWART around Stratford, Connecticut. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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