Shane D. Faltys, CRNA
Certified Registered Nurse Anesthetist · Poplar Bluff, MO
Shane D. Faltys, CRNA is a certified registered nurse anesthetist with a practice address in Poplar Bluff, Missouri, and NPI 1164640926, issued on Apr 24, 2007. Check the license (Missouri 2004031200, as entered in NPPES) with the Missouri board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shane D. Faltys
- Credential
- CRNA
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License numbers
- 2004031200 MO
D-102109 IA
Self-reported in NPPES; status is on the state search - Practice location
- 2620 N Westwood Blvd, Poplar Bluff, MO 63901
- Phone
- (573) 718-2710
- Enumerated
- Apr 24, 2007
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20051205000192); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest certified registered nurse anesthetist records → All 2,069 in Missouri → Look up another NPI →
Also registered at 2620 N Westwood Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Chelsea Bilderback, FNP-CFamily Nurse Practitioner1407741671
- Alexis CampbellPsychiatric/Mental Health Nurse Practitioner1851249379
- Lisa CarrollCertified Registered Nurse Anesthetist1770851743
- Imran Cheema, M.D.Internal Medicine Physician1316992340
- Candice Copeland, NPFamily Nurse Practitioner1548562531
- Richard CraytonCertified Registered Nurse Anesthetist1356555148
Verify Shane D. Faltys in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Missouri board licenses this profession
Search for license 2004031200Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
One hospital affiliation
- Unitypoint Health - MarshalltownMarshalltown, IA · Acute Care Hospitals3 of 5 stars
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Shane D. Faltys among 2,069 certified registered nurse anesthetist records in Missouri
Shane D. Faltys, CRNA is one of 2,069 certified registered nurse anesthetist records with a practice address in Missouri. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 35% of them.
- NPI issued2007 · 35% of these records are older, 58% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 73% of these records are
- Graduated2002 · median 2013 among the 1,508 with a school on file
- Record last updated2007 · 50% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
17 certified registered nurse anesthetist records list a practice address in Poplar Bluff
They are 17 of the 1,388 NPPES records with a practice address in Poplar Bluff, and 2,069 certified registered nurse anesthetist records in Missouri.
All 2,069 in Missouri → Every provider in Poplar Bluff → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- John Bollenbacher, CRNAPoplar Bluff, MO 639011952380792
- Jacob Briscoe, CRNAPoplar Bluff, MO 639011972736551
- Lisa CarrollPoplar Bluff, MO 639011770851743
- Richard CraytonPoplar Bluff, MO 639011356555148
- Roger Faltys, CRNAPoplar Bluff, MO 639011255541165
- Donald Foust, CRNAPoplar Bluff, MO 639011477532430
- Charles Hollis, CRNAPoplar Bluff, MO 639011780903021
- Shirley Jautz, CRNAPoplar Bluff, MO 639011003007329
Common questions
What is Shane D. Faltys, CRNA's NPI number?
Shane D. Faltys, CRNA's National Provider Identifier (NPI) is 1164640926, issued on Apr 24, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Shane D. Faltys, CRNA located?
The NPPES record lists a practice address at 2620 N Westwood Blvd, Poplar Bluff, MO, 63901. Phone: (573) 718-2710. Providers update this record themselves, so call before visiting.
How can I verify Shane D. Faltys, CRNA's license?
NPPES lists Missouri license number 2004031200, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.