RANDALL SMITH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1962477026

RANDALL SMITH (CRNA) is a healthcare provider. based in Kalamazoo, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704246400 (MI). The NPI Number for RANDALL SMITH (CRNA) is 1962477026

Main info

Male
21 Years Of Experience
Name
RANDALL SMITH (CRNA)
NPI
1962477026
Phone
(269) 345-8618
Address
900 PEELER ST
Enumeration Date
22 February 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2692781145
Graduation Year
2005 (21 years ago)
PAC ID
0446206338
Group Practice PAC ID
8729011333
Professional Enrollment ID
I20050323001172
Address ID
MI490938352TH701XXPKWY403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

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Provider Addresses for RANDALL SMITH (CRNA)

  • 900, Peeler Street, Kalamazoo, Kalamazoo County, Michigan, 49008, United States

    KALAMAZOO, MI 490082380

    Phone: (269) 345-8618

    Fax: (269) 345-1508

    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)

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: 2005-03-23

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
I20050323001172ICertified Registered Nurse Anesthetist (Crna)MITBD

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
00811Anesthesia for other procedure on large bowel using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 49008)

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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: 8729011333View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
-MO
A N E S T H E S I O L O G YOH
-IL
-KS
-IN
Certified Registered Nurse Anesthetist (Crna)GA
-AL
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

What number should I use to identify RANDALL SMITH (CRNA) for billing?
Administrative and clinical systems typically use NPI 1962477026 for RANDALL SMITH (CRNA).
Does the public listing show RANDALL SMITH (CRNA) as active?
RANDALL SMITH (CRNA)'s NPI record reflects an active status in NPPES.
What type of care does RANDALL SMITH (CRNA) provide?
RANDALL SMITH (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Can patients visit RANDALL SMITH (CRNA) in Kalamazoo, Michigan?
For routing, start with Kalamazoo, Michigan for RANDALL SMITH (CRNA), then verify phone and hours locally.
Who maintains RANDALL SMITH (CRNA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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