SHANNA PUGH PA-C
NPI 1326477589
Physician Assistant - Medical in Grants Pass, OR

Q: What is Shanna Pugh's NPI number?

The NPI number for Shanna Pugh is 1326477589. It was assigned to this individual provider in the NPPES registry on November 7, 2013.

Q: What is Shanna Pugh's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Shanna Pugh was last updated on October 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 07, 2013PECOS EnrolledAccepts Medicare Assignment

1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526(541) 471-3455(541) 471-1439 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 24, 2022, Jul 21, 2022, May 14, 2019 and 2 more (5 updates tracked since 2017).

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About Shanna Pugh Pa-c NPPES

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

SHANNA PUGH PA-C (NPI 1326477589) is an individual medical provider in Grants Pass, Oregon, licensed in Oregon (PA165436) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1326477589

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameSHANNA PUGHCredential: PA-C

Location Address1701 NW HAWTHORNE AVEGrants Pass, OR 97526-1051

Mailing Address1701 Nw Hawthorne AveGrants Pass, OR 97526-1051 · (541) 471-3455 · Fax (541) 471-1439

Phone(541) 471-3455

Fax(541) 471-1439

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateNovember 7, 2013

Last NPPES UpdateOctober 24, 20225 updates tracked since enumeration

NPPES CertifiedOctober 24, 2022

✔ NPI 1326477589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in OR · PA165436

1701 NW HAWTHORNE AVE, Grants Pass, OR 97526

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

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

Shanna Pugh Pa-c 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 ID4385877653

PECOS Enrollment IDI20140513000372

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.

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

34 services25 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

27 services22 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

25 services20 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

20 services13 patients

Hospital Affiliations CMS Care Compare

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

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number380002

Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

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

4 suppliers11 claims32 services$6.53 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.

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