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

Q: 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.

Q: What is Grayden Shull's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Grayden Shull was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

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: November 01, 2026.

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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

Phone(808) 432-0000

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

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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, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignment

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

Kaiser Foundation Health Plan Inc

Same address

Clinical Medical Laboratory

3288 MOANALUA RD
Honolulu, HI 96819

Reassigned Medicare billing, Hawaii enrollment
206 clinicians in this Medicare group

NPI 1740295393 (808) 432-8800

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

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.

DR. HEIDI M. SOLBERG-SHANKLE MD

Emergency Medicine