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

Shane D Faltys, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1164640926

Shane D Faltys, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Poplar Bluff, Missouri. Qualified in 2002, 24 years ago. Practices with Unitypoint Health - Marshalltown, a 24-clinician group and accepts Medicare assignment. Licensed in Iowa and Missouri.

Years since qualifying
24
Licensed in
IA, MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2620 N Westwood Blvd
Poplar Bluff, MO 63901-3396
Phone: (573) 718-2710
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2004031200 (MO)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence D-102109 (IA)

Record details

NPI number1164640926
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedApril 24, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Unitypoint Health - Marshalltown — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Poplar Bluff