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SHANE MARTIEN BSN, DNP, CRNA
NPI 1962236893
Nurse Anesthetist, Certified Registered in Van Nuys, CA

Active since September 02, 2024Accepts Medicare Assignment
15107 VANOWEN ST, VAN NUYS, CA 91405(818) 782-6600 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 17, 2024, Sep 2, 2024 (2 updates tracked since 2024).

About Shane Martien Bsn, Dnp, Crna NPPES

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

SHANE MARTIEN BSN, DNP, CRNA (NPI 1962236893) is an individual nurse anesthetist, certified registered in Van Nuys, California, licensed in California (95002468) and active in the NPI registry since September 2024. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1962236893
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameSHANE MARTIENCredential: BSN, DNP, CRNA
Location Address15107 VANOWEN STVan Nuys, CA 91405-4597
Mailing Address3311 Jurnee DrFindlay, OH 45840-7905 · (419) 721-3814
Phone(818) 782-6600
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 2, 2024
Last NPPES UpdateSeptember 17, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1962236893 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
License✔ Licensed in CA · 95002468
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.
15107 VANOWEN ST, Van Nuys, CA 91405
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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 Martien Bsn, Dnp, 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 ID7214464247
PECOS Enrollment IDI20250102002017

Medicare Billing Reassignments

2

Medicare enrollment records show Shane Martien reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vp Anesthesia Partners, Inc
Same address
Anesthesiology
15107 VANOWEN ST
Van Nuys, CA 91405
  • Reassigned Medicare billing, California enrollment
  • 48 clinicians in this Medicare group
NPI 1518694173 (310) 321-0143
Pacific Valley Medical Group
18 mi
Anesthesiology
100 W CALIFORNIA BLVD
Pasadena, CA 91105
  • Reassigned Medicare billing, California enrollment
  • 214 clinicians in this Medicare group
NPI 1851312862 (626) 397-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91405 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

DR. SHAHRAM SHAWN FARAHVASH M.D.
Anesthesiology
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 782-6600
PETER KOETTERS M.D.
Pediatrics (Pediatric Critical Care Medicine)
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 902-5771
MARINA A SALAMA MD INC
Pediatrics (Adolescent Medicine)
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 782-6600
SHANNON TRAN
Nurse Practitioner
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 782-6600
SARALYN MICHELLE LUNGER
Speech-Language Pathologist
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 902-5752
VALLEY PRESBYTERIAN EMERGENCY MEDICAL ASSOCIATES
Emergency Medicine
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (310) 321-0143
RONALD J BELCZYK, DPM INC.
Podiatrist (Foot & Ankle Surgery)
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 782-6600
KAREN EILEEN MCVEIGH M.D.
Pediatrics (Pediatric Critical Care Medicine)
15107 VANOWEN ST
VAN NUYS, CA 91405
Los Angeles County (818) 902-5771

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 Martien's NPI number?

The NPI number for Shane Martien is 1962236893. It was assigned to this individual provider in the NPPES registry on September 2, 2024.

Where is Shane Martien located?

Shane Martien practices at 15107 Vanowen St, Van Nuys, CA 91405. The listed phone number is (818) 782-6600.

What is Shane Martien's specialty?

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

Is Shane Martien enrolled in Medicare?

Yes. Shane Martien 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 Martien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Martien reassigns Medicare benefits to 2 organizations: Vp Anesthesia Partners, Inc (Van Nuys, CA) and Pacific Valley Medical Group (Pasadena, CA). 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 Martien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shane Martien was last updated on September 17, 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.