Individual provider Active NPI

Stacie Lynne Smith, CRNA

  • Anesthesiology Physician
  • San Francisco, CA
National Provider Identifier
1043350325
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4229 Issued in CA
Practice address
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone
(415) 885-7626
Fax
(415) 885-7284
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4229 CA Primary

Addresses

Primary practice location

505 Parnassus Ave
San Francisco, CA 94143-2204

Mailing address

900 Bush St
Apt 907
San Francisco, CA 94109-8714
Phone (703) 201-0356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131105001872 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840398269 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amsurg Marin Anesthesia LPGroup PAC ID 7214160191, 4 clinicians
University Anesthesia Medical GroupGroup PAC ID 2769370535, 402 clinicians

Practice addresses (Care Compare)

1100 S Elisco Dr
Suite 3
Greenbrae, CA 94904-2017
Phone (415) 464-0606

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.98 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

Merit-based Incentive Payment System (MIPS)

Final score
82.3 of 100Reported as group
Quality
59.22
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
4229CAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Feb 28, 2018 Accepting new patients
UCSF Medical Group Business Services CurrentSince Feb 28, 2018 Accepting new patients
University of California San Francisco Current Accepting new patients
University Anesthesia Medical Group Anesthesiology CurrentSince Oct 1, 2013 Accepting new patients
Blue Eagle Anesthesia Inc a Professional Corporation Anesthesiology CurrentSince Jan 1, 2024 Accepting new patients
Amsurg Marin Anesthesia LP Anesthesiology CurrentSince Jun 25, 2021 Accepting new patients
Amsurg Oakland Anesthesia LP Anesthesiology CurrentSince Dec 3, 2021 Accepting new patients
Manassas Anesthesia Associates PC Past Accepting new patients
Sarasota Anesthesiologists, PA Anesthesiology PastSince Jan 26, 2004 Accepting new patients

Locations

1100 S Eliseo Dr
Ste 3
Greenbrae, CA 94904
Phone (415) 464-0606

300 Ogawa Plz
Ste 135
Oakland, CA 94612
Phone (510) 893-1600

3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824

400 Parnassus Ave
#316
San Francisco, CA 94143
Phone (415) 353-7800

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1160 Post St
Ste 102
San Francisco, CA 94109

1160 Post St
San Francisco, CA 94109
Phone (415) 440-1100

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1043350325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BUSH ST",
            "address_2": "APT 907",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941098714",
            "telephone_number": "703-201-0356",
            "fax_number": "415-885-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-885-7626",
            "fax_number": "415-885-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STACIE",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "4229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.