BRIAN P SMITH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1093955833

BRIAN P SMITH (CRNA) is a healthcare provider. based in Green bay, Wisconsin. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R866798 (MS). The NPI Number for BRIAN P SMITH (CRNA) is 1093955833

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN P SMITH (CRNA)
NPI
1093955833
Phone
(920) 490-9046
Address
1035 KEPLER DR
Enumeration Date
5 March 2009
Last Update Date
10 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2008 (18 years ago)
PAC ID
4880751536
Group Practice PAC ID
4385554328
Professional Enrollment ID
I20100729000813
Address ID
WI543116519GR2845XRDXX300

Contacts

Secure Messaging
bsmith117634@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

1,144 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI

Provider Addresses for BRIAN P SMITH (CRNA)

  • 1035 KEPLER DR

    GREEN BAY, WI 543118320

    Phone: (920) 490-9046

    Type: Mailing

  • 2845 GREENBRIER RD

    GREEN BAY, WI 543116519

    Phone: (877) 229-0273

    Fax: (920) 288-4863

    Type: Location

  • Bellin Hospital Green Bay, 744, South Webster Avenue, Astor, Green Bay, Brown County, Wisconsin, 54305, United States

    GREEN BAY, WI 543013505

    Phone: (920) 433-3605

    Type: Mailing

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 $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2023-03-23 • Largest payer in this snapshot: Boston Scientific Corporation ($21).

Total Amount

$39

General + Research + Ownership

Payments

2

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-23

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: 2010-07-29

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
I20100729000813ICertified Registered Nurse Anesthetist (Crna)WITBD

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
00142Anesthesia for lens surgery2323$0
00813Anesthesia for procedure on small and large bowel using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 54311)

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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: 4385554328View full group profile
NameSpecialtyState
O P H T H A L M O L O G YWI
O P T O M E T R YWI
N E U R O S U R G E R YWI
O P T O M E T R YWI
Certified Registered Nurse Anesthetist (Crna)WI
Emergency MedicineWI
Plastic And Reconstructive SurgeryWI
Physician AssistantWI
O P H T H A L M O L O G YWI
Diagnostic RadiologyWI

Reviews

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Frequently asked questions

What is BRIAN P SMITH (CRNA)'s NPI number?
BRIAN P SMITH (CRNA)'s NPI is 1093955833 — the number used across U.S. healthcare to identify this provider.
Is BRIAN P SMITH (CRNA) still an active registrant?
BRIAN P SMITH (CRNA) carries an active NPI according to the public dataset.
What kind of doctor is BRIAN P SMITH (CRNA)?
BRIAN P SMITH (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRIAN P SMITH (CRNA)?
Travel planning: use Green Bay, Wisconsin as the reference point for BRIAN P SMITH (CRNA), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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