MISTY SMITH – Certified Registered Nurse Anesthetist, NPI 1063835130

MISTY SMITH is a healthcare provider. based in Fairfield, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 3008488 (KY). The NPI Number for MISTY SMITH is 1063835130

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MISTY SMITH
NPI
1063835130
Phone
(513) 870-7000
Address
3000 MACK RD
Enumeration Date
27 January 2014
Last Update Date
11 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5136244500
Graduation Year
2013 (13 years ago)
PAC ID
0749403319
Group Practice PAC ID
6901700640
Professional Enrollment ID
I20140702000868
Address ID
OH452552439CI7500XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Digital endpointsOther names

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

Provider Addresses for MISTY SMITH

  • 3000 MACK RD

    FAIRFIELD, OH 450145335

    Phone: (513) 870-7000

    Type: Mailing

  • PO BOX 632572

    CINCINNATI, OH 452632572

    Phone: (513) 520-2676

    Type: Mailing

  • 375 DIXMYTH AVE

    CINCINNATI, OH 452202475

    Phone: (513) 862-2432

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($22).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-07-02

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
I20140702000868ICertified 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
00811Anesthesia for other procedure on large bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 45014)

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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: 6901700640View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNC
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
-KY
-OH
Certified Registered Nurse Anesthetist (Crna)IN
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)OH

Reviews

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Frequently asked questions

How do I look up MISTY SMITH by NPI?
Use NPI 1063835130 when you need to reference MISTY SMITH in forms, claims, or directories.
Is MISTY SMITH active in the national directory?
MISTY SMITH's public NPI profile is in an active state.
What does MISTY SMITH treat or focus on?
Patients typically see MISTY SMITH under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is MISTY SMITH's primary listing?
We display Fairfield, Ohio because that is what the record indicates for MISTY SMITH.
What if Fairfield, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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