SHANE TYLER MARTIN CRNA
NPI 1083361257
Nurse Anesthetist, Certified Registered in Little Rock, AR
About Shane Tyler Martin Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANE TYLER MARTIN CRNA (NPI 1083361257) is an individual nurse anesthetist, certified registered in Little Rock, Arkansas, licensed in Arkansas (220519) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Little Rock, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Shane Tyler Martin Crna 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
13Medicare enrollment records show Shane Martin reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Little Rock, AR 72223
- Reassigned Medicare billing, Arkansas enrollment
- Also billed through NPI 1346230968 (Arkansas)
- 2,038 clinicians in this Medicare group
Little Rock, AR 72211
- Reassigned Medicare billing, Arkansas enrollment
- 32 clinicians in this Medicare group
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 253 clinicians in this Medicare group
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 122 clinicians in this Medicare group
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 288 clinicians in this Medicare group
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 123 clinicians in this Medicare group
Hot Springs, AR 71913
- Reassigned Medicare billing, Arkansas enrollment
- 19 clinicians in this Medicare group
Clarksville, AR 72830
- Reassigned Medicare billing, Arkansas enrollment
- 36 clinicians in this Medicare group
West Memphis, AR 72301
- Reassigned Medicare billing, Arkansas enrollment
- 81 clinicians in this Medicare group
Memphis, TN 38125
- Reassigned Medicare billing, Mississippi and Tennessee enrollments
- 284 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 5
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 72223 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 Martin's NPI number?
The NPI number for Shane Martin is 1083361257. It was assigned to this individual provider in the NPPES registry on March 7, 2022.
Where is Shane Martin located?
Shane Martin practices at 701 Rahling Rd Apt 2420, Little Rock, AR 72223. The listed phone number is (580) 774-9274.
What is Shane Martin's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Shane Martin enrolled in Medicare?
Yes. Shane Martin 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 Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shane Martin reassigns Medicare benefits to 13 organizations: University Of Arkansas For Medical Sciences (Little Rock, AR), Dream Team Anesthesia, LLC (Little Rock, AR), Arkansas Health Group (Little Rock, AR), Central Arkansas Radiation Therapy Institute Inc (Little Rock, AR), St. Vincent Medical Group (Little Rock, AR) and 8 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 Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shane Martin accept?
Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Oklahoma, Health Advantage and Octave list Shane Martin 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 Martin was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Shane Tyler Martin, CRNA · NPI 1083361257
Nurse Anesthetist, Certified Registered physician in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since March 7, 2022.
## Identity
- **NPI:** 1083361257 (Entity type: Individual)
- **Enumerated:** March 7, 2022
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 220519 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 RAHLING RD APT 2420, Little Rock, AR 72223-5297
- **Phone:** (580) 774-9274
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 13 organizations under Medicare reassignment (form CMS-855R): University Of Arkansas For Medical Sciences (NPI 1124791181, Little Rock, AR); Dream Team Anesthesia, LLC (NPI 1215629464, Little Rock, AR); Arkansas Health Group (NPI 1508800962, Little Rock, AR); Central Arkansas Radiation Therapy Institute Inc (NPI 1902472715, Little Rock, AR); St. Vincent Medical Group (NPI 1134176480, Little Rock, AR); and 8 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** May 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1083361257) · Data from the CMS NPPES public registry.