DIANE M SHEEHAN APRN
NPI 1295030369
Nurse Practitioner - Family in Trumbull, CT

Active since January 20, 2011PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
5520 PARK AVE, STE. 306, TRUMBULL, CT 06611(203) 373-7388 Get Directions Write a Review

NPPES record last updated: December 29, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diane M Sheehan Aprn NPPES

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

DIANE M SHEEHAN APRN (NPI 1295030369) is an individual family provider in Trumbull, Connecticut, licensed in Connecticut (4560) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1295030369
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDIANE M SHEEHANCredential: APRN
Location Address5520 PARK AVE, STE. 306Trumbull, CT 06611-3463
Mailing Address226 Mill Hill Ave, 3rd FloorBridgeport, CT 06610-2826 · (203) 373-7388
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 20, 2011
Last NPPES UpdateDecember 29, 2014
NPI 1295030369 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 CT · 4560
5520 PARK AVE, Trumbull, CT 06611

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Diane M Sheehan Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507041837
PECOS Enrollment IDI20110429000412
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services20 patients
Telephone or internet assessment with verbal and written report by consulting physician, 21-30 minutes 99448
This is a virtual consultation with a specialist doctor lasting between 21-30 minutes. It can take place over the phone or internet. After the session, the doctor will provide a written report about your health condition and any recommended next steps.
17 services17 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06611 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers19 claims48 services$6.16 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers21 claims23 services$1.08 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers112 claims112 services$189.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
5520 PARK AVE
TRUMBULL, CT 06611
Physician Assistant (Medical)
5520 PARK AVE
TRUMBULL, CT 06611
Psychologist
5520 PARK AVE, SUITE 206
TRUMBULL, CT 06611
Nurse Practitioner (Family)
5520 PARK AVE
TRUMBULL, CT 06611
Nurse Practitioner (Community Health)
5520 PARK AVE
TRUMBULL, CT 06611
Obstetrics & Gynecology
5520 PARK AVE, SUITE 302
TRUMBULL, CT 06611
Specialist
5520 PARK AVE, SUITE 303
TRUMBULL, CT 06611
Obstetrics & Gynecology
5520 PARK AVE, SUITE 302
TRUMBULL, CT 06611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diane Sheehan's NPI number?

The NPI number for Diane Sheehan is 1295030369. It was assigned to this individual provider in the NPPES registry on January 20, 2011.

Where is Diane Sheehan located?

Diane Sheehan practices at 5520 Park Ave Ste. 306, Trumbull, CT 06611. The listed phone number is (203) 373-7388.

What is Diane Sheehan's specialty?

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

Is Diane Sheehan enrolled in Medicare?

Yes. Diane Sheehan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Diane Sheehan was last updated on December 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.