Shannon P Kukulka, APRN - Medicare Nurse Practitioner in Hamden, CT

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Shannon P Kukulka, APRN is a medicare enrolled "Nurse Practitioner - Gerontology" in Hamden, Connecticut. Her current practice location is 60 Washington Ave, Hamden, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 288-0414.

Shannon P Kukulka is licensed to practice in Connecticut (license number 6878) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1982072591.

Contact Information

Shannon P Kukulka, APRN
60 Washington Ave,
Hamden, CT 06518-3271
(203) 288-0414
(203) 288-3655

Map and Direction




Provider's Profile

Full NameShannon P Kukulka
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location60 Washington Ave, Hamden, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982072591
  • Provider Enumeration Date: 09/14/2015
  • Last Update Date: 10/08/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8527362045
  • Enrollment ID: I20170124002591

Medical Identifiers

Medical identifiers for Shannon P Kukulka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982072591NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 6878 (Connecticut)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shannon P Kukulka allows following entities to bill medicare on her behalf.
Entity NameNortheast Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043278351
PECOS PAC ID: 1254233836
Enrollment ID: O20040123000522
Entity NameGeriatric and Adult Psychiatry, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770791493
PECOS PAC ID: 4486648946
Enrollment ID: O20040408001301

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon P Kukulka is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shannon P Kukulka, APRN
60 Washington Ave Ste 203,
Hamden, CT 06518-3257

Ph: (203) 288-0414		Shannon P Kukulka, APRN
60 Washington Ave,
Hamden, CT 06518-3271

Ph: (203) 288-0414

Reviews and Comments


Nurse Practitioner Nurses in Hamden, CT

Ashley Victoria Johnson,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1 Hideaway Ln, Hamden, CT 06518
Phone: 254-466-6569    
Lynda A. Romita, CPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2200 Whitney Ave, Suite 240, Hamden, CT 06518
Phone: 203-287-5400    Fax: 203-281-3001
Christine Salamida,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2200 Whitney Ave, Suite 360, Hamden, CT 06518
Phone: 203-281-4463    
Jennifer Suski, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2200 Whitney Ave Ste 290, Hamden, CT 06518
Phone: 203-903-8308    Fax: 203-599-3927
Deborah J Valin, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2080 Whitney Ave Ste 240, Hamden, CT 06518
Phone: 203-281-6228    Fax: 203-248-2881
Stephanie P. Perkins, CPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2200 Whitney Ave, Suite 240, Hamden, CT 06518
Phone: 203-287-5400    Fax: 203-281-3001
Kathleen D Jimmie, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2045 Dixwell Ave, Hamden, CT 06514
Phone: 866-389-2727    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.