Mrs Katie Evelyn Shull, ARNP - Medicare Nurse Practitioner in Dakota Dunes, SD

  1. Home
Mrs Katie Evelyn Shull, ARNP is a medicare enrolled "Nurse Practitioner" physician in Dakota Dunes, South Dakota. She graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dermsd Llc, Dermsd Llc and her current practice location is 330 Dakota Dunes Blvd Ste 400, Dakota Dunes, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 422-3000.

Mrs Katie Evelyn Shull is licensed to practice in Iowa (license number A163550) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417674482.

Contact Information

Mrs Katie Evelyn Shull, ARNP
330 Dakota Dunes Blvd Ste 400,
Dakota Dunes, SD 57049-5462
(605) 422-3000
Not Available

Map and Direction




Physician's Profile

Full NameMrs Katie Evelyn Shull
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location330 Dakota Dunes Blvd Ste 400, Dakota Dunes, South Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Katie Evelyn Shull graduated from medical school in 2021
  NPI Data:
  • NPI Number: 1417674482
  • Provider Enumeration Date: 10/20/2022
  • Last Update Date: 09/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9133587181
  • Enrollment ID: I20230622003224

Medical Identifiers

Medical identifiers for Mrs Katie Evelyn Shull such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417674482NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology A163550 (Iowa)Secondary
363L00000XNurse Practitioner A163550 (Iowa)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dermsd Llc55971530727
Dermsd Llc55971530727

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Katie Evelyn Shull allows following entities to bill medicare on her behalf.
Entity NameDermsd Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801465976
PECOS PAC ID: 5597153072
Enrollment ID: O20220915001068

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Katie Evelyn Shull is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Katie Evelyn Shull, ARNP
330 Dakota Dunes Blvd Ste 400,
Dakota Dunes, SD 57049-5462

Ph: (605) 422-3000		Mrs Katie Evelyn Shull, ARNP
330 Dakota Dunes Blvd Ste 400,
Dakota Dunes, SD 57049-5462

Ph: (605) 422-3000

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.