JONI D. SMITH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1417905308

JONI D. SMITH (CRNA) is a healthcare provider. based in Loves park, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 209003362 (IL). The NPI Number for JONI D. SMITH (CRNA) is 1417905308

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
JONI D. SMITH (CRNA)
NPI
1417905308
Phone
(815) 877-4848
Address
2202 HARLEM ROAD
Enumeration Date
4 May 2006
Last Update Date
8 December 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7796964400
Graduation Year
2000 (26 years ago)
PAC ID
4587615307
Group Practice PAC ID
5597668004
Professional Enrollment ID
I20050209000106
Address ID
IL611042315RO1401XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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

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Provider Addresses for JONI D. SMITH (CRNA)

  • 2202, Harlem Road, Harlem, Loves Park, Winnebago County, Illinois, 61111, United States

    LOVES PARK, IL 611112754

    Phone: (815) 877-4848

    Fax: (815) 654-5342

    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 $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-01-27 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$22
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: 2005-02-09

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
I20050209000106ICertified 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61111)

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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: 5597668004View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IL
-IL
-IL
-IL
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YIL

Reviews

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Frequently asked questions

What is the registry number for JONI D. SMITH (CRNA)?
The registry entry for JONI D. SMITH (CRNA) shows NPI 1417905308.
Does the public listing show JONI D. SMITH (CRNA) as active?
JONI D. SMITH (CRNA)'s NPI record reflects an active status in NPPES.
What type of care does JONI D. SMITH (CRNA) provide?
JONI D. SMITH (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is JONI D. SMITH (CRNA) tied to Loves Park, Illinois?
If you are local to Loves Park, Illinois, JONI D. SMITH (CRNA) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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