Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shayna Christine Diedrich-Pugh, ACNP

Individual provider Gerontology Nurse Practitioner · NPI 1700650777

Shayna Christine Diedrich-Pugh, ACNP is a Nurse Practitioner in Portland, Maine. Qualified in 2024, 2 years ago. Practices with Umass Memorial Medical Group Inc, a 2,467-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts and Maine.

Years since qualifying
2
Licensed in
MA, ME
In the registry since
2023
Specialties on file
3
What do these letters mean?
ACNP — Acute Care Nurse Practitioner
A nurse practitioner who treats acutely ill patients, usually in hospital.

See every abbreviation used in this directory →

Practice location Address checks out

930 Congress St
Portland, ME 04102-3032
Phone: (207) 662-1535
Fax: (207) 761-3021
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 119 Belmont St, Worcester, MA 01605-2903 — (508) 334-8515
  • 55 Lake Ave N, Worcester, MA 01655-0001 — (508) 334-8515

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence CNP251857 (ME)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence CNP251857 (ME)
Nurse Practitioner Taxonomy 363L00000X · Licence RN2314195 (MA)

Record details

NPI number1700650777
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP
Sole proprietorNo
NPI enumeratedNovember 10, 2023
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Umass Memorial Medical Group Inc — 2467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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