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

Shea M Kozak, PA-C

Individual provider Physician Assistant · NPI 1740794106

Shea M Kozak, PA-C is a Physician Assistant in Hartford, Connecticut. Qualified in 2017, 9 years ago. Practices with Hartford Healthcare Medical Group Specialists PLLC, a 1,537-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
9
Licensed in
CT
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

80 Seymour Street Hartford Hospital Surgery Dept
Hartford, CT 06102-8000
Phone: (860) 972-5022
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 71 Haynes St, Manchester, CT 06040-4131 — (860) 646-1222

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 004006 (CT)
Physician Assistant Taxonomy 363A00000X · Licence 4006 (CT)

Record details

NPI number1740794106
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 21, 2017
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Hartford Healthcare Medical Group Specialists Pllc — 1537 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Hartford