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

Individual provider Nurse Practitioner · NPI 1023412400

Stephanie Kacik, APRN is a Nurse Practitioner in New Haven, Connecticut. Qualified in 2014, 12 years ago. Practices with Yale University, a 2,618-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
12
Licensed in
CT
In the registry since
2014
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

20 York St
New Haven, CT 06510-3220
Phone: (203) 200-4363
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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 5954 (CT)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 5954 (CT)

Record details

NPI number1023412400
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedOctober 14, 2014
Last updated in NPPESNovember 7, 2014

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Yale University — 2618 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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