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HAILEY GRACE SHAULL PA-C
NPI 1902578131
Physician Assistant in Richfield, MN

Active since October 05, 2021PECOS Enrolled
7430 WENTWORTH AVE, RICHFIELD, MN 55423(612) 488-0040(833) 973-4055 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2025, Jun 9, 2022, Oct 5, 2021 (3 updates tracked since 2021).

About Hailey Grace Shaull Pa-c NPPES

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

HAILEY GRACE SHAULL PA-C (NPI 1902578131) is an individual physician assistant in Richfield, Minnesota, licensed in Minnesota (13878) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902578131
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHAILEY GRACE SHAULLCredential: PA-C
Location Address7430 WENTWORTH AVERichfield, MN 55423-4133
Mailing Address1600 S West AveSioux Falls, SD 57105-1441 · (608) 931-7557
Phone(612) 488-0040
Fax(833) 973-4055
Sole ProprietorNo
Enumeration DateOctober 5, 2021
Last NPPES UpdateFebruary 28, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
✔ NPI 1902578131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 13878
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.
7430 WENTWORTH AVE, Richfield, MN 55423
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hailey Grace Shaull Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55423 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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE RAE MISLIVEC MSN, APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
7430 WENTWORTH AVE
RICHFIELD, MN 55423
Hennepin County (612) 488-0040
MS. TRACY KIMBERLY NEWMAN PMHNP, CNP, RN
Nurse Practitioner (Psychiatric/Mental Health)
7430 WENTWORTH AVE
RICHFIELD, MN 55423
Hennepin County (612) 488-0040
ARMEL NGAH PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
7430 WENTWORTH AVE
RICHFIELD, MN 55423
Hennepin County (612) 488-0040
MENDING MENTAL HEALTH
Psychiatry & Neurology (Psychiatry)
7430 WENTWORTH AVE
RICHFIELD, MN 55423
Hennepin County (612) 488-0040
VICTORIA CARLOS VALENA APRN, CNP
Nurse Practitioner (Psychiatric/Mental Health)
7430 WENTWORTH AVE
RICHFIELD, MN 55423
Hennepin County (612) 488-0040

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 Hailey Shaull's NPI number?

The NPI number for Hailey Shaull is 1902578131. It was assigned to this individual provider in the NPPES registry on October 5, 2021.

Where is Hailey Shaull located?

Hailey Shaull practices at 7430 Wentworth Ave, Richfield, MN 55423. The listed phone number is (612) 488-0040.

What is Hailey Shaull's specialty?

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

Is Hailey Shaull enrolled in Medicare?

Yes. Hailey Shaull is registered in the Medicare PECOS enrollment system.

What insurance does Hailey Shaull accept?

Health plans from HealthPartners list Hailey Shaull 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.

When was this NPI record last updated?

The NPPES record for Hailey Shaull was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.