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

Individual provider Physician Assistant · NPI 1487338307

Shaylah Marie Renzullo, PA is a Physician Assistant in Meriden, Connecticut. Qualified in 2025, 1 year ago. Practices with Nems PLLC, a 36-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
1
Licensed in
CT
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

435 Lewis Ave
Meriden, CT 06451-2101
Phone: (203) 694-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7247 (CT)

Record details

NPI number1487338307
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 12, 2023
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Nems Pllc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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