Shirley Y Samy, APRN - Medicare Nurse Practitioner in Middlebury, CT

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Shirley Y Samy, APRN is a medicare enrolled "Registered Nurse" in Middlebury, Connecticut. She went to Yale University School Of Medicine and graduated in 1996 and has 29 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hartford Healthcare Medical Group Inc and her current practice location is 1625 Straits Tpke, Middlebury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 758-8107.

Shirley Y Samy is licensed to practice in Connecticut (license number E53233) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174598536.

Contact Information

Shirley Y Samy, APRN
1625 Straits Tpke,
Middlebury, CT 06762-1805
(203) 758-8107
(203) 568-2924

Map and Direction




Provider's Profile

Full NameShirley Y Samy
GenderFemale
SpecialityNurse Practitioner
Experience29 Years
Location1625 Straits Tpke, Middlebury, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shirley Y Samy attended and graduated from Yale University School Of Medicine in 1996
  NPI Data:
  • NPI Number: 1174598536
  • Provider Enumeration Date: 02/21/2006
  • Last Update Date: 09/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2163567256
  • Enrollment ID: I20100301000240

Medical Identifiers

Medical identifiers for Shirley Y Samy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174598536NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse E53233 (Connecticut)Primary
363LA2200XNurse Practitioner - Adult Health 001441 (Connecticut)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Midstate Medical CenterMeriden, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hartford Healthcare Medical Group Inc1153573902223

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. Shirley Y Samy allows following entities to bill medicare on her behalf.
Entity NameHartford Healthcare Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043561301
PECOS PAC ID: 1153573902
Enrollment ID: O20121201000007

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. Shirley Y Samy 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
Shirley Y Samy, APRN
1625 Straits Tpke, Suite #201,
Middlebury, CT 06762-1805

Ph: (203) 573-9512		Shirley Y Samy, APRN
1625 Straits Tpke,
Middlebury, CT 06762-1805

Ph: (203) 758-8107

Reviews and Comments


Registered Nurse Nurses in Middlebury, CT

Mrs. Gina Marie Burrows, APRN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 850 Straits Tpke, Suite 102, Middlebury, CT 06762
Phone: 203-758-1800    
Krista Derosa,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 590 Middlebury Rd, Middlebury, CT 06762
Phone: 860-866-7115    
Lisa M Oliveira, APRN
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 1579 Straits Tpke, Suite 2a, Middlebury, CT 06762
Phone: 203-757-8361    Fax: 203-754-9126
Megan Strobel,
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 390 Middlebury Rd Ste 2, Middlebury, CT 06762
Phone: 203-558-1143    

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.