Individual provider Active NPI

Terry Michael Smith, CRNA

  • Certified Registered Nurse Anesthetist
  • Hutchinson, KS
National Provider Identifier
1184654675
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
55079 Issued in KS
Practice address
1701 East 23Rd
Hutchinson, KS 67502
Phone
(620) 665-2000
Fax
(620) 665-2002
NPI assigned
Jul 3, 2006
Last updated
Aug 27, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 55079 KS Primary

Addresses

Primary practice location

1701 East 23Rd
Hutchinson, KS 67502

Mailing address

PO Box 388
Newton, KS 67114-0388
Phone (316) 281-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051029000040 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800870270 Reassigns benefits to 2 organizations
I20090714000428 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800870270 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Colorado Crna Associates Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients
Clinical Colleagues KS PA Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Arkansas Valley Regional Medical Center Nurse Anesthetist, Certified Registered CurrentSince Aug 27, 2024 Accepting new patients
Arkansas Valley Regional Medical Center Current Accepting new patients
Arkansas Valley Regional Medical Center CurrentSince Aug 1, 2011 Accepting new patients
Kearny County Hospital Current Accepting new patients
Anesthesia Associates of Kansas City PA Past Accepting new patients
Mid West Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

7353 Sisters Grv
Colorado Springs, CO 80923
Phone (719) 355-1001

1100 Carson Ave
La Junta, CO 81050
Phone (719) 383-6000

629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000

3001 Avenue A
Dodge City, KS 67801
Phone (620) 225-8400

500 E Thorpe St
Lakin, KS 67860
Phone (620) 355-7111

506 E Thorpe St
Lakin, KS 67860
Phone (620) 355-7500

400 10th St E
Waconia, MN 55387

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1184654675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671140388",
            "telephone_number": "316-281-3700",
            "fax_number": "316-282-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 EAST 23RD",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "67502",
            "telephone_number": "620-665-2000",
            "fax_number": "620-665-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TERRY",
        "middle_name": "MICHAEL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "55079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.