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

Shannon Serra

Individual provider Nurse Practitioner · NPI 1396412722

Shannon Serra is a Nurse Practitioner in New Haven, Connecticut. Qualified in 2021, 5 years ago. Practices with Yale University, a 2,618-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
5
Licensed in
CT
In the registry since
2021
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Practice location Address checks out

333 Cedar Street Tmp 3
New Haven, CT 06510
Phone: (203) 785-2802
Fax: (203) 785-6664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 009935 (CT)

Record details

NPI number1396412722
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 24, 2021
Last updated in NPPESSeptember 3, 2021
Certification dateSeptember 3, 2021
Mailing address333 Cedar Street, Tmp 3, New Haven, CT 06510

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Yale University — 2618 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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