MR. JASON G SMITH (APRN) – Certified Registered Nurse Anesthetist, NPI 1366671026
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. JASON G SMITH (APRN)
130 Division St
Derby, CT 064181326
Phone: (203) 735-7421
Type: Location
256 Seaside Ave
Milford, CT 064604602
Phone: (475) 882-6824
Type: Location
La Fortuna Bar & Restaurant, 7365, Main Street, Oronoque, Stratford, Fairfield County, Connecticut, 06614, United States
SUITE 310
STRATFORD, CT 066141300
Phone: (203) 384-3072
Fax: (203) 384-4619
Type: Mailing
Bridgeport Hospital, 267, Grant Street, Remington Village Historic District, Bridgeport, Greater Bridgeport Planning Region, Connecticut, 06610, United States
BRIDGEPORT, CT 066102805
Phone: (203) 384-3072
Fax: (203) 384-4619
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090930000121 | I | Certified Registered Nurse Anesthetist (Crna) | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06418)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | CT | |
| Certified Registered Nurse Anesthetist (Crna) | CT | |
| Certified Registered Nurse Anesthetist (Crna) | CT | |
| - | CT | |
| - | CT | |
| Certified Registered Nurse Anesthetist (Crna) | CT | |
| A N E S T H E S I O L O G Y | NY | |
| A N E S T H E S I O L O G Y | CT | |
| A N E S T H E S I O L O G Y | RI | |
| Anesthesiology, Pain Management | NY |
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