GRAYDEN J SHULL CRNA
NPI 1902888191
Nurse Anesthetist, Certified Registered in Honolulu, HI

Active since November 15, 2005Accepts Medicare Assignment
3288 MOANALUA RD, HONOLULU, HI 96819(808) 432-0000 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Grayden J Shull Crna NPPES

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

GRAYDEN J SHULL CRNA (NPI 1902888191) is an individual nurse anesthetist, certified registered in Honolulu, Hawaii, licensed in Michigan (4704230718) and active in the NPI registry since November 2005. He is affiliated with Kaiser Foundation Hospital, maintains a secondary practice location in Marquette, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1902888191
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameGRAYDEN J SHULLCredential: CRNA
Location Address3288 MOANALUA RDHonolulu, HI 96819-1469
Mailing Address2425 M 28 EMarquette, MI 49855-9532 · (906) 343-6502
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 15, 2005
Last NPPES UpdateApril 19, 2021
NPPES CertifiedMarch 12, 2021
NPI 1902888191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in MI · 4704230718
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

3288 MOANALUA RD, Honolulu, HI 96819

Secondary Practice Location 1

Location 1580 W College AveMarquette, MI 49855-2705 · Phone (906) 225-3406 · Fax (906) 225-3094

Other Identifiers 3

Medicaid104782094MI
Other44343100WI · Wisc Medicaid
OtherGS230718MI · Blueshield Pin

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

Grayden J Shull Crna 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 ID3577589563
PECOS Enrollment IDI20180601001366

Hospital Affiliations CMS Care Compare

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

Kaiser Foundation Hospital

Acute Care Hospitals · Honolulu, HI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120011
Location3288 Moanalua RdHonolulu, HI 96819 · Honolulu County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96819 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
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
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.

Obstetrics & Gynecology
3288 MOANALUA RD
HONOLULU, HI 96819
Nurse Practitioner
3288 MOANALUA RD
HONOLULU, HI 96819
Internal Medicine
3288 MOANALUA RD
HONOLULU, HI 96819
Pediatrics
3288 MOANALUA RD
HONOLULU, HI 96819
Nurse Anesthetist, Certified Registered
3288 MOANALUA RD
HONOLULU, HI 96819
Social Worker (Clinical)
3288 MOANALUA RD
HONOLULU, HI 96819
Nurse Anesthetist, Certified Registered
3288 MOANALUA RD
HONOLULU, HI 96819
Internal Medicine
3288 MOANALUA RD
HONOLULU, HI 96819

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 Grayden Shull's NPI number?

The NPI number for Grayden Shull is 1902888191. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Grayden Shull located?

Grayden Shull practices at 3288 Moanalua Rd, Honolulu, HI 96819. The listed phone number is (808) 432-0000.

What is Grayden Shull's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Grayden Shull enrolled in Medicare?

Yes. Grayden 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.

Is Grayden Shull affiliated with any hospitals?

According to CMS data, Grayden Shull is affiliated with Kaiser Foundation Hospital.

When was this NPI record last updated?

The NPPES record for Grayden Shull was last updated on April 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.