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

Individual provider Certified Registered Nurse Anesthetist · NPI 1083361257

Shane Tyler Martin, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Little Rock, Arkansas. Qualified in 2022, 4 years ago. Practices with McGowan Court Anesthesia Associates LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
4
Licensed in
AR
In the registry since
2022
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

701 Rahling Rd Apt 2420
Little Rock, AR 72223-5297
Phone: (580) 774-9274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 801 Cottage Dr, Little Rock, AR 72205-5400 — (501) 686-8818

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 220519 (AR)

Record details

NPI number1083361257
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 7, 2022
Last updated in NPPESMay 24, 2024
Certification dateMay 24, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice McGowan Court Anesthesia Associates Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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