SHANE TYLER MARTIN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1083361257
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
716 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AR
Provider Addresses for SHANE TYLER MARTIN (CRNA)
801 Cottage Dr
Little Rock, AR 722055400
Phone: (501) 686-8818
Fax: (501) 526-7217
Type: Location
701 RAHLING RD APT 2420
LITTLE ROCK, AR 722235297
Phone: (580) 774-9274
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $39.
Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.
Last reported payment date: 2023-10-06 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($39).
Total Amount
$39
General + Research + Ownership
Payments
2
Total payment records
General Amount
$39
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $39 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-04-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220830000421 | I | Certified Registered Nurse Anesthetist (Crna) | AR | TBD |
| I20230502002248 | I | Certified Clinical Nurse Specialist (Cns) | MS | TBD |
| I20230629000862 | I | Certified Registered Nurse Anesthetist (Crna) | TN | TBD |
| I20240419003156 | I | Certified Registered Nurse Anesthetist (Crna) | OK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 53 | 52 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 15 | 15 | $0 |
Insurance plans in this area (ZIP 72205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Certified Registered Nurse Anesthetist (Crna) | AR | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Certified Registered Nurse Anesthetist (Crna) | AR | |
| Certified Registered Nurse Anesthetist (Crna) | AR | |
| Certified Registered Nurse Anesthetist (Crna) | NV | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Certified Registered Nurse Anesthetist (Crna) | AR | |
| Certified Registered Nurse Anesthetist (Crna) | TN |
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