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

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1679991350

Shastin Shull, MD is a Physical Medicine and Rehabilitation in Grand Rapids, Michigan. Graduated from Mayo Medical School in 2014, 12 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Trained at
Mayo Medical School
Licensed in
MI
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1900 Wealthy St SE Ste 300
Grand Rapids, MI 49506-2969
Phone: (616) 774-8345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 4301108062 (MI)

Record details

NPI number1679991350
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2014
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolMAYO MEDICAL SCHOOL
Graduated 2014 (12 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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