MATTHEW A. SMITH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1114011905

Certified Registered Nurse Anesthetist

MATTHEW A. SMITH (CRNA) is a healthcare provider. based in Bountiful, Utah. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 722182 (TX). The NPI Number for MATTHEW A. SMITH (CRNA) is 1114011905

Main info

Male

21 Years Of Experience

Accepts Medicare Assignment

Name

MATTHEW A. SMITH (CRNA)

NPI

1114011905

Phone

(801) 296-2113

Address

PO BOX 268

Enumeration Date

3 October 2006

Last Update Date

19 February 2009

Doctor Profile

Medical School Name

OTHER

Secondary Phone

4358430180

Graduation Year

2005 (21 years ago)

PAC ID

4082621768

Group Practice PAC ID

6002884996

Professional Enrollment ID

I20081027000178

Address ID

UT840743460TO2326X400X301

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in UT

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Provider Addresses for MATTHEW A. SMITH (CRNA)

PO BOX 268
BOUNTIFUL, UT 840110268
Phone: (801) 296-2113
Fax: (801) 296-1715
Type: Mailing
Main Street, Tooele, Tooele County, Utah, 84704, United States
TOOELE, UT 84074
Phone: (435) 843-3600
Type: Location

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: 2008-10-27

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20081027000178	I	Certified Registered Nurse Anesthetist (Crna)	UT	TBD

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
00142	Anesthesia for lens surgery	21	20	$0
00731	Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope	18	17	$0
00812	Anesthesia for exam of colon using an endoscope	15	15	$0

View full utilization report →

Insurance plans in this area (ZIP 84011)

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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: 6002884996View full group profile

Name	Specialty	State
THOMAS JEFFERSON GREEN (CRNA)	Certified Registered Nurse Anesthetist (Crna)	NV
ANNETTE S PROCTOR (CRNA)	Certified Registered Nurse Anesthetist (Crna)	UT
EVIE ANNA WATERS	Certified Registered Nurse Anesthetist (Crna)	UT
BRADLEY J MACK (CRNA)	Certified Registered Nurse Anesthetist (Crna)	NE
JENNIFER CLARK LAWSON (CRNA)	-	WA
STACEY LYNN NELSON (CRNA)	Certified Registered Nurse Anesthetist (Crna)	AZ
AMY LEMMON (CRNA)	Certified Registered Nurse Anesthetist (Crna)	UT

Reviews

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Frequently asked questions

What identifier follows MATTHEW A. SMITH (CRNA) across health systems?

The NPI 1114011905 uniquely identifies MATTHEW A. SMITH (CRNA) in U.S. healthcare data.

Quick check: is MATTHEW A. SMITH (CRNA) active?

Public NPPES data shows MATTHEW A. SMITH (CRNA) with an active NPI status right now.

What services align with MATTHEW A. SMITH (CRNA)'s listing?

MATTHEW A. SMITH (CRNA)'s public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.

What city is tied to MATTHEW A. SMITH (CRNA)?

The directory associates MATTHEW A. SMITH (CRNA) with Bountiful, Utah. Check all listed addresses for suites or satellite offices.

Who maintains MATTHEW A. SMITH (CRNA)'s record?

Providers certify NPPES data; CMS hosts the public file you are viewing.