KAITLIN SHAUGHNESSY (PA-C) – Physician Assistant, NPI 1972095495
Physician Assistant
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,244 PHYSICIAN ASSISTANT in CT
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Provider Addresses for KAITLIN SHAUGHNESSY (PA-C)
25, Rudden Lane, Colchester, New London County, Connecticut, 06415, United States
COLCHESTER, CT 064152807
Phone: (860) 304-2262
Type: Mailing
Bone and Joint Institute at Hartford Hospital, 32, Seymour Street, Frog Hollow Historic District, Hartford, Hartford County, Connecticut, 06106, United States
HARTFORD, CT 06106
Phone: (855) 442-4373
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: 2018-12-11
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 |
|---|---|---|---|---|
| I20181211002541 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 21 | 18 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 15 | 15 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 06415)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| - | CT | |
| Orthopedic Surgery | MA | |
| Physical Medicine And Rehabilitation | CT | |
| Nurse Practitioner | CT | |
| Physical Therapist In Private Practice | MA | |
| Orthopedic Surgery | CT | |
| - | CT | |
| Pain Management, Physical Medicine And Rehabilitation | DC | |
| Orthopedic Surgery | CT |
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