Stacy Shauna Hethman, NP
NPI 1336039379ActiveIndividual· Nurse Practitioner· East Hartford, CT
Nurse Practitioner (NP) in East Hartford, Connecticut, licensed in CT, with an NPI issued in July 2025. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1336039379 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Jul 9, 2025 |
| Last updated in NPPES | Jul 9, 2025 |
| Certified by provider | Jul 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 14839 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CT) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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