SHANE D FALTYS CRNA
NPI 1164640926
Nurse Anesthetist, Certified Registered in Poplar Bluff, MO

Active since April 24, 2007Accepts Medicare Assignment
2620 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901(573) 718-2710 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shane D Faltys Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE D FALTYS CRNA (NPI 1164640926) is an individual nurse anesthetist, certified registered in Poplar Bluff, Missouri, licensed in Missouri (2004031200) and active in the NPI registry since April 2007. He is affiliated with Unitypoint Health - Marshalltown and is a graduate of Other (2002).

NPPES Registry Identity

NPI1164640926
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameSHANE D FALTYSCredential: CRNA
Location Address2620 N WESTWOOD BLVDPoplar Bluff, MO 63901-3396
Mailing Address12747 Foxwood PtPoplar Bluff, MO 63901-7746 · (573) 778-3870
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateApril 24, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1164640926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses Licensed in MO · 2004031200 Licensed in IA · D-102109
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
2620 N WESTWOOD BLVD, Poplar Bluff, MO 63901

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shane D Faltys 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.

PECOS PAC ID9739135310
PECOS Enrollment IDI20051205000192

Areas of Expertise CMS Part B claims 2

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
112 services102 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unitypoint Health - Marshalltown

Acute Care Hospitals · Marshalltown, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number160001
Location55 Unitypoint WayMarshalltown, IA 50158 · Marshall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Nurse Practitioner (Family)
2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Hospitalist
2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Radiology (Therapeutic Radiology)
2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Emergency Medicine
2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Nurse Anesthetist, Certified Registered
2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Emergency Medicine
2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Psychiatry & Neurology (Psychiatry)
2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901

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 Faltys's NPI number?

The NPI number for Shane Faltys is 1164640926. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Shane Faltys located?

Shane Faltys practices at 2620 N Westwood Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 718-2710.

What is Shane Faltys's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Shane Faltys enrolled in Medicare?

Yes. Shane Faltys 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.

What insurance does Shane Faltys accept?

Health plans from Medica list Shane Faltys 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.

Is Shane Faltys affiliated with any hospitals?

According to CMS data, Shane Faltys is affiliated with Unitypoint Health - Marshalltown.

When was this NPI record last updated?

The NPPES record for Shane Faltys was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.