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Active NPI 1902578131 Individual Practitioner Female Practitioner

Hailey Grace Shaull , PA-C

Physician Assistant • Richfield, MN

Professional Overview & Biography Verified Profile Summary

Hailey Shaull, PA-C is a registered healthcare professional specializing in Physician Assistant in Richfield, MN. Practice services are available at 7430 WENTWORTH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7430 Wentworth Ave

Richfield, MN 554234133

Telephone 6124880040
Fax 8339734055
Associated Practice Facility / Clinic
🏢 Mending Mental Health Facility NPI 1720846215

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Richfield, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.9 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
9 Specialists

Practicing in Richfield, MN (4026 Statewide)

Telehealth Adoption Rate
33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 13878

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Nicole Mislivec , MSN, APRN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1245019231

Master of Science in Nursing, Advanced Practice Registered Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Tracy Newman , PMHNP, CNP, RN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1295447894

Psychiatric-Mental Health Nurse Practitioner, Certified Nurse Practitioner, Registered Nurse

Armel Ngah , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1639019235

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Victoria Valena , APRN, CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1851360671

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location February 28, 2025

Registered at 7430 WENTWORTH AVE, RICHFIELD, MN 554234133 (Tel: 6124880040)

📍
Updated Business Mailing Address February 28, 2025

Registered at 1600 S WEST AVE, SIOUX FALLS, SD 571051441 (Tel: 6089317557)

📍
Updated Business Mailing Address June 09, 2022

Registered at 4444 W 76TH ST, STE 400, EDINA, MN 554355178 (Tel: 6089317557)

NPI Profile Active October 05, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 05, 2021

Registered at 4444 W 76TH ST STE 400, EDINA, MN 554355178 (Tel: 6127467347)

📍
Updated Business Mailing Address October 05, 2021

Registered at 800 MAIN ST NE, MINNEAPOLIS, MN 554131932 (Tel: 6089317557)

👤
Provider Name / Credentials Updated October 05, 2021

Recorded as HAILEY SHAULL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2021

Physician Assistant

🟢
Initial NPI Registration & Enumeration October 05, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902578131
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2021
Last Update: February 28, 2025
Sole Proprietor: No

Mailing Address

1600 S West Ave

Sioux Falls, SD 571051441

Phone: 6089317557

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.