SHASTIN SHULL MD
NPI 1679991350
Physical Medicine & Rehabilitation in Grand Rapids, MI

Active since March 31, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1900 WEALTHY ST SE STE 300, GRAND RAPIDS, MI 49506(616) 774-8345 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 3, 2026, May 22, 2023, Feb 17, 2021 and 1 more (4 updates tracked since 2018).

About Shastin Shull Md NPPES

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

SHASTIN SHULL MD (NPI 1679991350) is an individual physical medicine & rehabilitation provider in Grand Rapids, Michigan, licensed in Michigan (4301108062) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Mayo Medical School (2014).

NPPES Registry Identity

NPI1679991350
Entity TypeIndividualFemale
Primary Taxonomy208100000X
Provider Legal NameSHASTIN SHULLCredential: MD
Location Address1900 WEALTHY ST SE STE 300Grand Rapids, MI 49506-2969
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSMayo Medical SchoolGraduated 2014
Enumeration DateMarch 31, 2014
Last NPPES UpdateAugust 3, 20264 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1679991350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License✔ Licensed in MI · 4301108062
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
1900 WEALTHY ST SE STE 300, Grand Rapids, MI 49506

Other Names 1

Former Name (1)Shastin Purvis

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shastin Shull Md 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 ID6305146929
PECOS Enrollment IDI20180725001162
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.

Medicare Billing Reassignment

Medicare enrollment records show Shastin Shull reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rehabilitation Hospital
235 WEALTHY ST SE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 209 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
317 services72 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.
49 services46 patients
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.
34 services19 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.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
2 suppliers16 claims16 services$11.27 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.

Nurse Practitioner (Family)
1900 WEALTHY ST SE STE 300
GRAND RAPIDS, MI 49506
Physician Assistant
1900 WEALTHY ST SE STE 300
GRAND RAPIDS, MI 49506
Pain Medicine (Interventional Pain Medicine)
1900 WEALTHY ST SE STE 300
GRAND RAPIDS, MI 49506
Physician Assistant
1900 WEALTHY ST SE STE 300
GRAND RAPIDS, MI 49506
Physician Assistant
1900 WEALTHY ST SE STE 300
GRAND RAPIDS, MI 49506
Physician Assistant
1900 WEALTHY ST SE STE 300
GRAND RAPIDS, MI 49506
Physician Assistant
1900 WEALTHY ST SE STE 300
GRAND RAPIDS, MI 49506
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1900 WEALTHY ST SE STE 300
GRAND RAPIDS, MI 49506

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 Shastin Shull's NPI number?

The NPI number for Shastin Shull is 1679991350. It was assigned to this individual provider in the NPPES registry on March 31, 2014. The provider is also known as Shastin Purvis.

Where is Shastin Shull located?

Shastin Shull practices at 1900 Wealthy St SE Ste 300, Grand Rapids, MI 49506. The listed phone number is (616) 774-8345.

What is Shastin Shull's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Shastin Shull enrolled in Medicare?

Yes. Shastin 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.

Which organization bills Medicare for Shastin Shull's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shastin Shull reassigns Medicare benefits to Mary Free Bed Rehabilitation Hospital (Grand Rapids, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shastin Shull's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shastin Shull accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Shastin 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 Shastin Shull affiliated with any hospitals?

According to CMS data, Shastin Shull is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Shastin Shull was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.