Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Stephanie Pettingle, APRNDNP

Individual provider Family Nurse Practitioner · NPI 1205258605

Dr. Stephanie Pettingle, APRNDNP is a Nurse Practitioner in Shelton, Connecticut. Qualified in 2013, 13 years ago. Accepts Medicare assignment. Licensed in Connecticut and New York.

Years since qualifying
13
Licensed in
CT, NY
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

4 Corporate Dr
Shelton, CT 06484-6211
Phone: (203) 225-0375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5676 (CT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F338355 (NY)

Record details

NPI number1205258605
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRNDNP
Sole proprietorNo
NPI enumeratedJanuary 20, 2014
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shelton