Active NPI
Michael Smith, RN
- Certified Registered Nurse Anesthetist
- Edgewood, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 037860
- Practice address
- 20 Medical Village Dr
Suite 258
Edgewood, KY 41017 - Phone
- (859) 301-2211
- NPI assigned
- Dec 16, 2005
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 037860 | KY | Primary |
| Registered Nurse | 163W00000X | 1054975 | KY |
Addresses
Primary practice location
20 Medical Village Dr
Suite 258
Edgewood, KY 41017
Mailing address
5363 Shadow Hill CT
Taylor Mill, KY 41015
Phone (859) 581-7952
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74097817 | Medicaid | KY | |
| 2166454 | Medicaid | OH | |
| 000000389807 | Other | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OH
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 Joseph E Sanker Blvd
Cincinnati, OH 45212-1979
Phone (513) 841-7600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1054975 | KY | MD | Registered Nurse |
| 037860 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Hospital, Inc | Current | Accepting new patients | |
| Deaconess Hospital Inc | Current | Accepting new patients | |
| Deaconess Hospital, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiology Services Network LTD | Current | Accepting new patients | |
| Outpatient Anesthesia Specialists | Current | Accepting new patients | |
| Christian Co Anesthesia | Past | Accepting new patients | |
| Riverhills Anesthesia Associates | Past | Accepting new patients | |
| Christian County Anesthesia, PLLC | Past | Accepting new patients | |
| St. Luke Hospitals Inc | Past | Accepting new patients |
Locations
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
2000 Joseph E Sanker Blvd
Norwood, OH 45212
Phone (513) 841-7400
4700 Smith Rd
Norwood, OH 45212
Phone (513) 366-3400
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1891976643
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1821076779
-
dba Deaconess Care Group
- Hospitalist Physician
- Evansville, IN
- NPI 1427097443
-
- Mental Health Counselor
- Evansville, IN
- NPI 1508723552
-
dba Deaconess Anesthesia Service
- Anesthesiology Physician
- Evansville, IN
- NPI 1629162573
Nurse Anesthetist, Certified Registered
-
- Specialist
- Hopkinsville, KY
- NPI 1083091375
-
- Anesthesiology Physician
- Hopkinsville, KY
- NPI 1831120328
-
- Anesthesiology Physician
- Fort Thomas, KY
- NPI 1649263799
-
dba St. Luke Physicians for Women
- Obstetrics & Gynecology Physician
- Fort Thomas, KY
- NPI 1902910987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1487630091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5363 SHADOW HILL CT",
"city": "TAYLOR MILL",
"state": "KY",
"postal_code": "41015",
"telephone_number": "859-581-7952",
"fax_number": "859-581-7952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MEDICAL VILLAGE DR",
"address_2": "SUITE 258",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "41017",
"telephone_number": "859-301-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MICHAEL",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "037860",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1054975",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74097817",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2166454",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000389807",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.