Individual provider Active NPI

Amanda Smidt, CRNA

  • Certified Registered Nurse Anesthetist
  • Pickerington, OH
National Provider Identifier
1457955338
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.0020981 Issued in OH
Practice address
1010 Refugee Rd
Pickerington, OH 43147-9653
Phone
(614) 884-0641
NPI assigned
Nov 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN11024915 FL
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.0020981 OH Primary

Addresses

Primary practice location

1010 Refugee Rd
Pickerington, OH 43147-9653

Mailing address

4943 Cadogan PL
New Albany, OH 43054-9455

Other practice location 1

900 NW 17th St
Miami, FL 33136-1119
Phone (305) 243-5512

Other practice location 2

410 W 10th Ave
Columbus, OH 43210-1240
Phone (614) 293-8487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230519001944 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567875578 Reassigns benefits to 1 organization
I20240624003997 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567875578 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Anesthesia of Ohio LLCGroup PAC ID 3779714258, 123 clinicians
Midwest Physician Anesthesia Services, Inc.Group PAC ID 8921997230, 159 clinicians
Anesthesia Group Practice IncGroup PAC ID 1254245137, 396 clinicians

Practice addresses (Care Compare)

275 Taylor Station Rd
Columbus, OH 43213-2927
Phone (614) 751-4466

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-4919

5040 Forest Dr
Suite 100
New Albany, OH 43054-9187
Phone (614) 775-1616

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11024915FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami CurrentSince May 1, 2023 Accepting new patients
University of Miami Current Accepting new patients
Ohiohealth Corporation CurrentSince Jul 1, 2024 Accepting new patients
Ohiohealth Corporation Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2024 Accepting new patients
University of Miami CurrentSince May 1, 2023 Accepting new patients
Anesthesia Group Practice, Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 21, 2025 Accepting new patients
Midwest Physician Anesthesia Services, Inc. Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients
Premier Anesthesia of Ohio LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2025 Accepting new patients
Deperro Plastic Surgery, LLC Past Accepting new patients
Med-Trans Corporation Past Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

900 NW 17th St
Miami, FL 33136
Phone (305) 243-6605

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

111 S Grant Ave
Fl 3
Columbus, OH 43215
Phone (614) 566-9871

5151 Reed Rd
Ste 225C
Columbus, OH 43220
Phone (614) 457-2306

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

275 Taylor Station Rd
Columbus, OH 43213
Phone (614) 566-9983

Dept L3652
Columbus, OH 43260

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

5040 Forest Dr
Ste 100
New Albany, OH 43054
Phone (614) 775-1616

1010 Refugee Rd
Pickerington, OH 43147
Phone (614) 587-7601

Interoperability endpoints

  • Direct secure messaging: asmidt122201@direct.med.miami.edu

Organizations & group practices 10

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 3

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": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1457955338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4943 CADOGAN PL",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 REFUGEE RD",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479653",
            "telephone_number": "614-884-0641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 NW 17th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361119",
            "country_code": "US",
            "telephone_number": "305-243-5512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 W 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101240",
            "country_code": "US",
            "telephone_number": "614-293-8487",
            "fax_number": "614-293-8153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMIDT",
        "first_name": "AMANDA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11024915",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.0020981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.