SHASTIN SHULL MD
NPI 1679991350
Physical Medicine & Rehabilitation in Grand Rapids, MI
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
Specialties & Licenses
Other Names 1
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.
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.
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.
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, MIMedicare 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.
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.
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.
GRAND RAPIDS, MI 49506
GRAND RAPIDS, MI 49506
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.