BRITTNI SMITH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1104591965

BRITTNI 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. 135551 (KY). The NPI Number for BRITTNI SMITH (CRNA) is 1104591965

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
BRITTNI SMITH (CRNA)
NPI
1104591965
Phone
(920) 619-5551
Address
835 S VAN BUREN ST
Enumeration Date
13 August 2021
Last Update Date
17 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9204330111
Graduation Year
2021 (5 years ago)
PAC ID
4587061379
Group Practice PAC ID
4486613858
Professional Enrollment ID
I20210921002788
Address ID
WI543013526GR835XXSTXX500

Contacts

Secure Messaging
bwirtz97616@ewd.direct.hshs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

1,141 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI

Provider Addresses for BRITTNI SMITH (CRNA)

  • 835 S VAN BUREN ST

    GREEN BAY, WI 543013526

    Phone: (920) 619-5551

    Type: Location

  • 553 CALUMET LN

    MADISONVILLE, KY 424318459

    Phone: (920) 619-5551

    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: 2021-09-21

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
I20210921002788ICertified 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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 54301)

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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: 4486613858View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YWI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI
-MI
A N E S T H E S I O L O G YND
Certified Registered Nurse Anesthetist (Crna)WI

Reviews

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Frequently asked questions

How is BRITTNI SMITH (CRNA) identified in CMS data?
CMS-hosted NPPES data lists BRITTNI SMITH (CRNA) with NPI 1104591965.
Does CMS list BRITTNI SMITH (CRNA) as active?
Yes — BRITTNI SMITH (CRNA) is active in the NPI listing used on this page.
What taxonomy line describes BRITTNI SMITH (CRNA)?
For research purposes, treat BRITTNI SMITH (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for BRITTNI SMITH (CRNA)?
BRITTNI SMITH (CRNA)'s geographic hint is Green Bay, Wisconsin in our summary view.
Why does BRITTNI SMITH (CRNA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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