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

John Shane Mallett, CRNA

Individual provider Anesthesiology Physician · NPI 1306021282

John Shane Mallett, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Lake Charles, Louisiana. Qualified in 2007, 19 years ago. Practices with Los Anesthesia Services LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Louisiana and Texas.

Years since qualifying
19
Licensed in
LA, TX
In the registry since
2008
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

751 Bayou Pines East Dr Ste L
Lake Charles, LA 70601-7196
Phone: (337) 436-8700
Fax: (337) 436-3008
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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 AP121182 (TX)
Anesthesiology Physician Taxonomy 207L00000X · Licence RN085277 (LA)

Record details

NPI number1306021282
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedJanuary 9, 2008
Last updated in NPPESDecember 29, 2022
Certification dateDecember 29, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Los Anesthesia Services Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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