Individual provider Active NPI

Race Shelby, CRNA

  • Certified Registered Nurse Anesthetist
  • North Little Rock, AR
National Provider Identifier
1598328486
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
120379 Issued in AR
Practice address
5201 Northshore Dr
North Little Rock, AR 72118-5312
Phone
(501) 748-8000
NPI assigned
Apr 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 120379 AR Primary

Addresses

Primary practice location

5201 Northshore Dr
North Little Rock, AR 72118-5312

Mailing address

3013 Martineau PL
North Little Rock, AR 72116-8546
Phone (870) 489-1285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190723000600 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002142569 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middle Arkansas Sedation Associates, PLLCGroup PAC ID 4486068988, 6 clinicians
Arkansas Surgical Hospital LLCGroup PAC ID 5496793390, shared by 3 NPIs, 44 clinicians

Practice addresses (Care Compare)

1024 N University Ave
Little Rock, AR 72207-6347
Phone (501) 537-0900

5201 Northshore Dr
Suite 300
North Little Rock, AR 72118-5312
Phone (501) 748-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Surgical Hospital, LLC CurrentSince Jan 1, 2022 Accepting new patients
Arkansas Surgical Hospital, LLC Current Accepting new patients
Middle Arkansas Sedation Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2021 Accepting new patients
Arkansas Anesthesia Associates, PLLC. CurrentSince Jul 6, 2021 Accepting new patients
S.E.G. Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2020 Accepting new patients
Capitol Anesthesia Services LLC PastSince Oct 12, 2025 Accepting new patients

Locations

1024 N University Ave
Little Rock, AR 72207
Phone (501) 537-0900

10301 Kanis Rd
Little Rock, AR 72205
Phone (501) 604-4151

5201 Northshore Dr
Ste 300
North Little Rock, AR 72118
Phone (501) 748-8000

5201 Northshore Dr
North Little Rock, AR 72118
Phone (501) 748-8000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1598328486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 MARTINEAU PL",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168546",
            "telephone_number": "870-489-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 NORTHSHORE DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721185312",
            "telephone_number": "501-748-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELBY",
        "first_name": "RACE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-17",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "120379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.