MICHAEL SMITH (RN) – Certified Registered Nurse Anesthetist, NPI 1487630091

MICHAEL SMITH (RN) is a healthcare provider. based in Taylor mill, Kentucky. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials RN. They hold a License No. 1054975 (KY). The NPI Number for MICHAEL SMITH (RN) is 1487630091

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL SMITH (RN)
NPI
1487630091
Phone
(859) 581-7952
Address
5363 SHADOW HILL CT
Enumeration Date
16 December 2005
Last Update Date
20 April 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5138417600
Graduation Year
1985 (41 years ago)
PAC ID
1355390865
Group Practice PAC ID
1456431162
Professional Enrollment ID
I20210521001056
Address ID
OH452121979CI2000XBLVD500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,370 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KY

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Provider Addresses for MICHAEL SMITH (RN)

  • 5363 SHADOW HILL CT

    TAYLOR MILL, KY 41015

    Phone: (859) 581-7952

    Fax: (859) 581-7952

    Type: Mailing

  • Medical Village Drive, Edgewood, Kenton County, Kentucky, 41017, United States

    SUITE 258

    EDGEWOOD, KY 41017

    Phone: (859) 301-2211

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: ABIOMED ($40).

Total Amount

$56

General + Research + Ownership

Payments

3

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$40
UROGEN PHARMA, INC.$16
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: 2021-05-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20200928002775ICertified Registered Nurse Anesthetist (Crna)INTBD
I20210521001056ICertified Registered Nurse Anesthetist (Crna)OHTBD

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
00910Anesthesia for other procedure on urinary system through urethra121116$0
00873Anesthesia for shock wave therapy for urinary system stones without water bath6564$0
00902Anesthesia for procedure on anus and rectum6363$0
00918Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope1616$0
View full utilization report →

Insurance plans in this area (ZIP 41015)

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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: 1456431162View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-OH
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)KY
-OH

Reviews

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Frequently asked questions

Can I use this page to confirm MICHAEL SMITH (RN)'s NPI?
Yes. MICHAEL SMITH (RN) is listed with NPI 1487630091 in the public NPI dataset.
Can I rely on MICHAEL SMITH (RN) being an active provider?
As of the registry snapshot, MICHAEL SMITH (RN) is marked active.
What is MICHAEL SMITH (RN) best known for clinically?
Directory data describes MICHAEL SMITH (RN) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for MICHAEL SMITH (RN)?
MICHAEL SMITH (RN)'s geographic hint is Taylor Mill, Kentucky in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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