BENJAMIN SHOULTS
NPI 1467240697
Student in an Organized Health Care Education/Training Program in St Louis Park, MN
About Benjamin Shoults NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN SHOULTS (NPI 1467240697) is an individual student in an organized health care education/training program in St Louis Park, Minnesota and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Benjamin Shoults is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
ST LOUIS PARK, MN 55426
ST LOUIS PARK, MN 55426
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 Benjamin Shoults's NPI number?
The NPI number for Benjamin Shoults is 1467240697. It was assigned to this individual provider in the NPPES registry on April 28, 2025.
Where is Benjamin Shoults located?
Benjamin Shoults practices at 6600 Excelsior Blvd, St Louis Park, MN 55426. The listed phone number is (952) 993-7705.
What is Benjamin Shoults's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Benjamin Shoults enrolled in Medicare?
Yes. Benjamin Shoults is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Benjamin Shoults was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Benjamin Shoults · NPI 1467240697
Student in an Organized Health Care Education/Training Program provider in St Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since April 28, 2025.
## Identity
- **NPI:** 1467240697 (Entity type: Individual)
- **Enumerated:** April 28, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 6600 EXCELSIOR BLVD, St Louis Park, MN 55426-4744
- **Phone:** (952) 993-7705
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1467240697) · Data from the CMS NPPES public registry.