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

Individual provider Certified Registered Nurse Anesthetist · NPI 1588988745

Shane Parks, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Gallup, New Mexico. Qualified in 2009, 17 years ago. Practices with Emergenchealth PLLC, a 1,024-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
17
Licensed in
OH
In the registry since
2010
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

516 E Nizhoni Blvd
Gallup, NM 87301
Phone: (505) 722-1000
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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 COA.11341-NA (OH)

Record details

NPI number1588988745
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 17, 2010
Last updated in NPPESMarch 17, 2010
Mailing addressPo Box 1337, Gallup, NM 87305-1337

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Emergenchealth Pllc — 1024 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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