EILEEN MARY SMITH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1093443756

EILEEN MARY SMITH (CRNA) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 60462528 (WA). The NPI Number for EILEEN MARY SMITH (CRNA) is 1093443756

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
EILEEN MARY SMITH (CRNA)
NPI
1093443756
Phone
(917) 370-6104
Address
1660 N PROSPECT AVE UNIT 906
Enumeration Date
10 August 2022
Last Update Date
10 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9144919495
Graduation Year
2022 (4 years ago)
PAC ID
5294104873
Group Practice PAC ID
9335298884
Professional Enrollment ID
I20221205001437
Address ID
WA982011665EV1321XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

987 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WA

Provider Addresses for EILEEN MARY SMITH (CRNA)

  • 1660 N PROSPECT AVE UNIT 906

    MILWAUKEE, WI 532022445

    Phone: (917) 370-6104

    Type: Mailing

  • 1700 13TH ST

    EVERETT, WA 982011689

    Phone: (917) 370-6104

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-08-16 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$18
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: 2022-12-05

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
I20221205001437ICertified Registered Nurse Anesthetist (Crna)WATBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 53202)

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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: 9335298884View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WA
-WA
Certified Registered Nurse Anesthetist (Crna)VT
Certified Registered Nurse Anesthetist (Crna)WA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
-MT

Reviews

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Frequently asked questions

Can I verify EILEEN MARY SMITH (CRNA) with an NPI only?
You can start verification with NPI 1093443756 for EILEEN MARY SMITH (CRNA), then check state licensing separately.
Does the file indicate EILEEN MARY SMITH (CRNA) is practicing under active NPI?
Directory data currently reports EILEEN MARY SMITH (CRNA) as active.
What is EILEEN MARY SMITH (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for EILEEN MARY SMITH (CRNA) here. Clinical services aligned with this taxonomy classification.
Does EILEEN MARY SMITH (CRNA) list a practice location?
Patients near Milwaukee, Wisconsin may find EILEEN MARY SMITH (CRNA) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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