AMBER SMITH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1104324771

AMBER SMITH (CRNA) is a healthcare provider. based in Springfield, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 209017237 (IL). The NPI Number for AMBER SMITH (CRNA) is 1104324771

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
AMBER SMITH (CRNA)
NPI
1104324771
Phone
(217) 788-3000
Address
701 N 1ST ST
Enumeration Date
29 January 2018
Last Update Date
12 February 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2177883755
Graduation Year
2017 (9 years ago)
PAC ID
1658632757
Group Practice PAC ID
7315835949
Professional Enrollment ID
I20180307000272
Address ID
IL627810001SP701XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

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Provider Addresses for AMBER SMITH (CRNA)

  • Memorial Medical Center, 701, North 1st Street, Springfield, Sangamon County, Illinois, 62781, United States

    SPRINGFIELD, IL 627810001

    Phone: (217) 788-3000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2023-09-27 • Largest payer in this snapshot: ATRICURE, INC. ($32).

Total Amount

$32

General + Research + Ownership

Payments

1

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ATRICURE, INC.$32
View all Open Payments →|Open Payments Risk Radar →

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: 2018-03-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180307000272ICertified Registered Nurse Anesthetist (Crna)ILTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01922Anesthesia for x-ray or radiation therapy1919$0
View full utilization report →

Insurance plans in this area (ZIP 62781)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315835949View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
-IL
-IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Nurse PractitionerIL
-IL
Certified Registered Nurse Anesthetist (Crna)IL
-IL
Certified Registered Nurse Anesthetist (Crna)IL

Reviews

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Frequently asked questions

How do payers reference AMBER SMITH (CRNA)?
For AMBER SMITH (CRNA), use NPI 1104324771 as the unique 10-digit identifier.
Would AMBER SMITH (CRNA) appear as active to a payer?
You can treat AMBER SMITH (CRNA) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with AMBER SMITH (CRNA)?
AMBER SMITH (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is AMBER SMITH (CRNA) located near Springfield?
AMBER SMITH (CRNA) currently maps to Springfield, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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