DIANA SHIELDS ARNP
NPI 1154210813
Nurse Practitioner - Family in Longview, WA

Q: What is Diana Shields's NPI number?

The NPI number for Diana Shields is 1154210813. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Q: What is Diana Shields's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Diana Shields was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 30, 2025PECOS Enrolled

1057 12TH AVE, LONGVIEW, WA 98632(360) 636-3892(360) 414-1342 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Diana Shields Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANA SHIELDS ARNP (NPI 1154210813) is an individual family provider in Longview, Washington, licensed in Washington (AP70024360) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Peacehealth St John Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1154210813

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDIANA SHIELDSCredential: ARNP

Location Address1057 12TH AVELongview, WA 98632-2509

Mailing Address1057 12th AveLongview, WA 98632-2509 · (360) 636-3892 · Fax (360) 414-1342

Phone(360) 636-3892

Fax(360) 414-1342

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 30, 2025

Last NPPES UpdateSeptember 25, 2025

NPPES CertifiedSeptember 25, 2025

✔ NPI 1154210813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WA · AP70024360

1057 12TH AVE, Longview, WA 98632

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diana Shields Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163912957

PECOS Enrollment IDI20251110001937

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Diana Shields reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cowlitz Family Health Center

Same address

Federally Qualified Health Center (FQHC)

1057 12TH AVE
Longview, WA 98632

Reassigned Medicare billing, Washington enrollment
18 clinicians in this Medicare group

NPI 1891724506 (360) 636-3892

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Peacehealth St John Medical Center

Acute Care Hospitals · Longview, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500041

Location1615 Delaware StreetLongview, WA 98632 · Cowlitz County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98632 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIAN COOPER

Counselor (Mental Health)