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

Nathanael Paul Shull

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255034054

Nathanael Paul Shull is a Physician Assistant in Shoreview, Minnesota. Qualified in 2024, 2 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2023
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Shoreview, MN
Fax: (651) 483-2155

Additional practice locations (1)

  • 4839 305th Ave Ne, Cambridge, MN 55008-6707 — (612) 413-6460

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14956 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255034054
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 22, 2023
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Shoreview