NATHANAEL PAUL SHULL
NPI 1255034054
Physician Assistant in Shoreview, MN

Active since March 22, 2023PECOS EnrolledAccepts Medicare Assignment
4194 LEXINGTON AVE N, SHOREVIEW, MN 55126(651) 483-5461(651) 483-2155 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 26, 2025, Mar 22, 2023 (2 updates tracked since 2023).

About Nathanael Paul Shull NPPES

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

NATHANAEL PAUL SHULL (NPI 1255034054) is an individual physician assistant in Shoreview, Minnesota, licensed in Minnesota (14956) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and maintains a secondary practice location in Cambridge.

NPPES Registry Identity

NPI1255034054
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNATHANAEL PAUL SHULL
Location Address4194 LEXINGTON AVE NShoreview, MN 55126-6106
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Fax(651) 483-2155
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 22, 2023
Last NPPES UpdateJune 26, 20252 updates tracked since enumeration
NPPES CertifiedJune 26, 2025
NPI 1255034054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 14956
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4194 LEXINGTON AVE N, Shoreview, MN 55126

Secondary Practice Location 1

Location 14839 305th Ave NECambridge, MN 55008-6707 · Phone (612) 413-6460

Accepted 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

Nathanael Paul Shull 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 ID5496293714
PECOS Enrollment IDI20240819001362
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

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.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55126 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

Family Medicine
4194 LEXINGTON AVE N
SHOREVIEW, MN 55126
Family Medicine
4194 LEXINGTON AVE N
SHOREVIEW, MN 55126
Family Medicine
4194 LEXINGTON AVE N
SHOREVIEW, MN 55126
Family Medicine
4194 LEXINGTON AVE N
SHOREVIEW, MN 55126
Obstetrics & Gynecology
4194 LEXINGTON AVE N
SHOREVIEW, MN 55126
Advanced Practice Midwife
4194 LEXINGTON AVE N, ARLINA MEDICAL CLINIC - SHOREVIEW
SHOREVIEW, MN 55126
Family Medicine
4194 LEXINGTON AVE N
SHOREVIEW, MN 55126
Family Medicine
4194 LEXINGTON AVE N
SHOREVIEW, MN 55126

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 Nathanael Shull's NPI number?

The NPI number for Nathanael Shull is 1255034054. It was assigned to this individual provider in the NPPES registry on March 22, 2023.

Where is Nathanael Shull located?

Nathanael Shull practices at 4194 Lexington Ave N, Shoreview, MN 55126. The listed phone number is (651) 483-5461.

What is Nathanael Shull's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nathanael Shull enrolled in Medicare?

Yes. Nathanael Shull 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.

What insurance does Nathanael Shull accept?

Health plans from Medica list Nathanael Shull as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nathanael Shull affiliated with any hospitals?

According to CMS data, Nathanael Shull is affiliated with Allina United Hospital, Abbott Northwestern Hospital and Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Nathanael Shull was last updated on June 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.