SHAYNA CHRISTINE DIEDRICH-PUGH ACNP
NPI 1700650777
Nurse Practitioner - Gerontology in Portland, ME

Q: What is Shayna Diedrich-pugh's NPI number?

The NPI number for Shayna Diedrich-pugh is 1700650777. It was assigned to this individual provider in the NPPES registry on November 10, 2023. The provider is also known as Shayna Diedrich Np.

Q: What is Shayna Diedrich-pugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since November 10, 2023PECOS EnrolledAccepts Medicare Assignment

930 CONGRESS ST, PORTLAND, ME 04102(207) 662-1535(207) 761-3021 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 2, 2026, Nov 10, 2023 (2 updates tracked since 2023).

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About Shayna Christine Diedrich-pugh Acnp NPPES

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

SHAYNA CHRISTINE DIEDRICH-PUGH ACNP (NPI 1700650777) is an individual gerontology provider in Portland, Maine, licensed in Maine (CNP251857) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1700650777

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameSHAYNA CHRISTINE DIEDRICH-PUGHCredential: ACNP

Location Address930 CONGRESS STPortland, ME 04102-3032

Mailing Address930 Congress StPortland, ME 04102-3032 · (207) 662-1535 · Fax (207) 761-3021

Phone(207) 662-1535

Fax(207) 761-3021

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 10, 2023

Last NPPES UpdateMarch 2, 20262 updates tracked since enumeration

NPPES CertifiedMarch 2, 2026

✔ NPI 1700650777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code363LG0600X

License✔ Licensed in ME · CNP251857

Also ListedNurse PractitionerTaxonomy 363L00000X · License RN2314195 (MA)

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License CNP251857 (ME)

930 CONGRESS ST, Portland, ME 04102

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Other Names 1

Former Name (1)Shayna Diedrich Np

Secondary Practice Locations 2

Location 155 Lake Ave NWorcester, MA 01655-0001 · Phone (508) 334-8515 · Fax (508) 334-6490

Location 2119 Belmont StWorcester, MA 01605-2903 · Phone (508) 334-8515 · Fax (508) 334-6490

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

Shayna Christine Diedrich-pugh Acnp 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 ID941643829

PECOS Enrollment IDI20240207003201, I20260519003605

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

46 services22 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

25 services16 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

19 services19 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

16 services16 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220163

Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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

$86.72 typical visit price

range $56.28 – $169.96

Typical copayment $21.68 (range $14.07 – $42.49)

Most-billed visit code 99203

Established Patient

$99.18 typical visit price

range $18.22 – $138.92

Typical copayment $24.79 (range $4.55 – $34.73)

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 2

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

JOHNA MARIE JOYCE FNP-C

Nurse Practitioner (Family)

930 CONGRESS ST
PORTLAND, ME 04102

Cumberland County (207) 662-1535

ADRIANNA M KEHOE FNP

Nurse Practitioner (Family)

930 CONGRESS ST
PORTLAND, ME 04102

Cumberland County (207) 662-1535

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 Shayna Diedrich-pugh's NPI number?

The NPI number for Shayna Diedrich-pugh is 1700650777. It was assigned to this individual provider in the NPPES registry on November 10, 2023. The provider is also known as Shayna Diedrich Np.

Where is Shayna Diedrich-pugh located?

Shayna Diedrich-pugh practices at 930 Congress St, Portland, ME 04102. The listed phone number is (207) 662-1535.

What is Shayna Diedrich-pugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Shayna Diedrich-pugh enrolled in Medicare?

Yes. Shayna Diedrich-pugh 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.

Is Shayna Diedrich-pugh affiliated with any hospitals?

According to CMS data, Shayna Diedrich-pugh is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Shayna Diedrich-pugh was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.