WILLIAM R SMITH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1013901529

WILLIAM R SMITH (CRNA) is a healthcare provider. based in Salt lake city, Utah. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 0331584-4406 (UT). The NPI Number for WILLIAM R SMITH (CRNA) is 1013901529

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM R SMITH (CRNA)
NPI
1013901529
Phone
(801) 261-4988
Address
3838 S 700 E
Enumeration Date
12 September 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8017272060
Graduation Year
2001 (25 years ago)
PAC ID
0941248389
Group Practice PAC ID
7416856109
Professional Enrollment ID
I20050418000645
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

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Provider Addresses for WILLIAM R SMITH (CRNA)

  • 700 East, Central City, Salt Lake City, Salt Lake County, Utah, 84102, United States

    SUITE 200

    SALT LAKE CITY, UT 841061466

    Phone: (801) 261-4988

    Fax: (801) 269-9427

    Type: Location

  • PO BOX 27688

    SALT LAKE CITY, UT 841270688

    Phone: (801) 534-1360

    Fax: (801) 366-9883

    Type: Mailing

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: 2020-11-04

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
I20050418000645ICertified Registered Nurse Anesthetist (Crna)UTTBD
I20201104002643ICertified Registered Nurse Anesthetist (Crna)CATBD

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 84106)

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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: 7416856109View full group profile
NameSpecialtyState
Infectious DiseaseUT
Family PracticeUT
Internal MedicineUT
Family PracticeUT
Internal Medicine, HospitalistUT
-UT
Family PracticeUT
O B S T E T R I C S/ G Y N E C O L O G YUT
Infectious DiseaseUT
Internal MedicineUT

Reviews

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Frequently asked questions

What is the registry number for WILLIAM R SMITH (CRNA)?
The registry entry for WILLIAM R SMITH (CRNA) shows NPI 1013901529.
Quick check: is WILLIAM R SMITH (CRNA) active?
Public NPPES data shows WILLIAM R SMITH (CRNA) with an active NPI status right now.
Which specialty label fits WILLIAM R SMITH (CRNA)?
NPPES ties WILLIAM R SMITH (CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is WILLIAM R SMITH (CRNA) tied to Salt Lake City, Utah?
If you are local to Salt Lake City, Utah, WILLIAM R SMITH (CRNA) may be relevant to your search.
Who maintains WILLIAM R SMITH (CRNA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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