JUSTIN RANDALL SMITH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1285005124

JUSTIN RANDALL SMITH (CRNA) is a healthcare provider. based in Dallas, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. AP130109 (TX). The NPI Number for JUSTIN RANDALL SMITH (CRNA) is 1285005124

Main info

Male
Sole Proprietor
11 Years Of Experience
Name
JUSTIN RANDALL SMITH (CRNA)
NPI
1285005124
Phone
(972) 715-5000
Address
PO BOX 840853
Enumeration Date
19 October 2015
Last Update Date
28 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7136204000
Graduation Year
2015 (11 years ago)
PAC ID
0648574566
Group Practice PAC ID
7315850351
Professional Enrollment ID
I20160212000655
Address ID
TX775212122BA4401XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for JUSTIN RANDALL SMITH (CRNA)

  • PO BOX 840853

    DALLAS, TX 752840853

    Phone: (972) 715-5000

    Fax: (972) 715-9976

    Type: Mailing

  • 6606 LBJ FWY

    SUITE 200

    DALLAS, TX 75240

    Phone: (972) 715-5000

    Fax: (972) 715-9976

    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 $55.

Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.

Last reported payment date: 2023-08-08 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($21).

Total Amount

$55

General + Research + Ownership

Payments

3

Total payment records

General Amount

$55

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-08

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: 2016-02-12

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
I20160212000655ICertified Registered Nurse Anesthetist (Crna)TXTBD

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
J2704Injection, propofol, 10 mg51826$0
00811Anesthesia for other procedure on large bowel using an endoscope1616$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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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: 7315850351View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
-TX
-TX
-TX
A N E S T H E S I O L O G YTX

Reviews

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Frequently asked questions

Is JUSTIN RANDALL SMITH (CRNA) listed with a National Provider Identifier?
Yes — JUSTIN RANDALL SMITH (CRNA) has NPI 1285005124 on file in the registry.
Is JUSTIN RANDALL SMITH (CRNA) still an active registrant?
JUSTIN RANDALL SMITH (CRNA) carries an active NPI according to the public dataset.
What area of care is associated with JUSTIN RANDALL SMITH (CRNA)?
JUSTIN RANDALL SMITH (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is JUSTIN RANDALL SMITH (CRNA) associated with Dallas?
Public fields place JUSTIN RANDALL SMITH (CRNA) around Dallas, Texas. Always confirm the exact site before visiting.
Can I trust this NPI listing for JUSTIN RANDALL SMITH (CRNA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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