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

Jeff Shaw

Individual provider Registered Nurse · NPI 1457970022

Jeff Shaw is a Nurse Practitioner in Hartford, Connecticut. Qualified in 2020, 6 years ago. Practices with Hartford Healthcare Medical Group Specialists PLLC, a 1,537-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
6
Licensed in
CT
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

80 Seymour St
Hartford, CT 06102-8000
Phone: (917) 605-3326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 8927 (CT)
Registered Nurse Taxonomy 163W00000X · Licence 153286 (CT)

Record details

NPI number1457970022
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 13, 2020
Last updated in NPPESSeptember 17, 2020
Certification dateSeptember 17, 2020
Mailing address30 Pequonnock Cir, Stratford, CT 06614-2313

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Hartford Healthcare Medical Group Specialists Pllc — 1537 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hartford