Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shane Jamison, DNP

Individual provider Certified Registered Nurse Anesthetist · NPI 1083150064

Dr. Shane Jamison, DNP is a Certified Registered Nurse Anesthetist (CRNA) in Fort Smith, Arkansas. Qualified in 2017, 9 years ago. Practices with Renew Medical Group of Arkansas Ltd, a 127-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
9
Licensed in
AR
In the registry since
2017
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

12809 Diamond Ln
Fort Smith, AR 72916-4155
Phone: (918) 721-3264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence C003202 (AR)

Record details

NPI number1083150064
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP
Sole proprietorYes
NPI enumeratedJanuary 13, 2017
Last updated in NPPESFebruary 21, 2020
Certification dateFebruary 21, 2020
Mailing address12809 Diamond Ln, Fort Smith, AR 72916-4155

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Renew Medical Group Of Arkansas Ltd — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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