DR. SHANE JAMISON DNP
NPI 1083150064
Nurse Anesthetist, Certified Registered in Fort Smith, AR
About Dr. Shane Jamison Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHANE JAMISON DNP (NPI 1083150064) is an individual nurse anesthetist, certified registered in Fort Smith, Arkansas, licensed in Arkansas (C003202) and active in the NPI registry since January 2017. He is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Shane Jamison Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
7Medicare enrollment records show Shane Jamison reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Smith, AR 72903
- Reassigned Medicare billing, Arkansas enrollment
- 60 clinicians in this Medicare group
Fort Smith, AR 72903
- Reassigned Medicare billing, Arkansas enrollment
- 52 clinicians in this Medicare group
Fort Smith, AR 72903
- Reassigned Medicare billing, Arkansas enrollment
- 168 clinicians in this Medicare group
Booneville, AR 72927
- Reassigned Medicare billing, Arkansas enrollment
- 116 clinicians in this Medicare group
Waldron, AR 72958
- Reassigned Medicare billing, Arkansas enrollment
- 110 clinicians in this Medicare group
Ozark, AR 72949
- Reassigned Medicare billing, Arkansas enrollment
- 112 clinicians in this Medicare group
Paris, AR 72855
- Reassigned Medicare billing, Arkansas enrollment
- 117 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72916 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shane Jamison's NPI number?
The NPI number for Shane Jamison is 1083150064. It was assigned to this individual provider in the NPPES registry on January 13, 2017.
Where is Shane Jamison located?
Shane Jamison practices at 12809 Diamond Ln, Fort Smith, AR 72916. The listed phone number is (918) 721-3264.
What is Shane Jamison's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Shane Jamison enrolled in Medicare?
Yes. Shane Jamison is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Shane Jamison's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shane Jamison reassigns Medicare benefits to 7 organizations: Western Arkansas Anesthesiology Associates P.A. (Fort Smith, AR), Western Arkansas Obstetric Anesthesia LLC (Fort Smith, AR), Renew Medical Group Of Arkansas Ltd (Fort Smith, AR), Mercy Hospital Booneville (Booneville, AR), Mercy Hospital Waldron (Waldron, AR) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shane Jamison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shane Jamison accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Shane Jamison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shane Jamison was last updated on February 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Shane Jamison, DNP · NPI 1083150064
Nurse Anesthetist, Certified Registered physician in Fort Smith, Arkansas. Individual provider, active in the CMS NPPES registry since January 13, 2017.
## Identity
- **NPI:** 1083150064 (Entity type: Individual)
- **Enumerated:** January 13, 2017
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** C003202 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12809 DIAMOND LN, Fort Smith, AR 72916-4155
- **Phone:** (918) 721-3264
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Western Arkansas Anesthesiology Associates P.A. (NPI 1548202294, Fort Smith, AR); Western Arkansas Obstetric Anesthesia LLC (NPI 1952671703, Fort Smith, AR); Renew Medical Group Of Arkansas Ltd (NPI 1215755947, Fort Smith, AR); Mercy Hospital Booneville (NPI 1992133714, Booneville, AR); Mercy Hospital Waldron (NPI 1912978875, Waldron, AR); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** February 21, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1083150064) · Data from the CMS NPPES public registry.