KATERINA SHULL (PA-C) – Physician Assistant, NPI 1336445717

KATERINA SHULL (PA-C) is a healthcare provider. based in Naperville, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085-004980 (IL). The NPI Number for KATERINA SHULL (PA-C) is 1336445717

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
KATERINA SHULL (PA-C)
NPI
1336445717
Phone
(630) 790-1872
Address
100 SPALDING DR
Enumeration Date
2 February 2011
Last Update Date
20 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7083871750
Graduation Year
2010 (16 years ago)
PAC ID
7719158567
Group Practice PAC ID
6002814878
Professional Enrollment ID
I20151104002819
Address ID
IL605581664WE4700XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for KATERINA SHULL (PA-C)

  • 100 SPALDING DR

    NAPERVILLE, IL 605406550

    Phone: (630) 790-1872

    Fax: (630) 355-2515

    Type: Mailing

  • 900 RAND RD STE 300

    DES PLAINES, IL 600162359

    Phone: (847) 324-3976

    Fax: (847) 929-1154

    Type: Mailing

  • 550 W OGDEN AVE

    HINSDALE, IL 605213186

    Phone: (630) 323-6116

    Fax: (630) 323-6169

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-11-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151104002819IPhysician AssistantILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3433$0
99204New patient office or other outpatient visit, 45-59 minutes1616$0
73564X-ray of knee, 4 or more views1111$0
View full utilization report →

Insurance plans in this area (ZIP 60540)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002814878View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Sports Medicine, Orthopedic SurgeryIL
Physician AssistantIL
-IL
Physical Therapist In Private PracticeIL
Physician AssistantIL
Orthopedic SurgeryIL
Physician AssistantIL
Orthopedic SurgeryIL
Physician AssistantIL

Reviews

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Frequently asked questions

Can I cross-check KATERINA SHULL (PA-C) using NPI 1336445717?
NPI 1336445717 belongs to KATERINA SHULL (PA-C); compare other details if you need extra assurance.
Is KATERINA SHULL (PA-C) still an active registrant?
KATERINA SHULL (PA-C) carries an active NPI according to the public dataset.
What expertise is attributed to KATERINA SHULL (PA-C)?
KATERINA SHULL (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is KATERINA SHULL (PA-C) located near Naperville?
KATERINA SHULL (PA-C) currently maps to Naperville, Illinois in this extract.
When was this NPI issued?
Enumeration for KATERINA SHULL (PA-C) is noted as February 2, 2011 where the registry provides it.

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