Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Harrison Johnston Shull III

Individual provider Certified Registered Nurse Anesthetist · NPI 1285096891

Mr. Harrison Johnston Shull III is a Certified Registered Nurse Anesthetist (CRNA) in Roanoke, Virginia. Qualified in 2016, 10 years ago. Practices with Carilion Professional Services LLC, a 86-clinician group and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
10
Licensed in
NC, VA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone: (540) 981-7000
Fax: (540) 857-5363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 0024173683 (VA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 0123456789 (NC)

Record details

NPI number1285096891
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 23, 2016
Last updated in NPPESDecember 22, 2025
Certification dateDecember 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Carilion Professional Services Llc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Roanoke