Active NPI
Brock Smith, CRNA
- Certified Registered Nurse Anesthetist
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 22290
- Practice address
- 9040 Fitzsimmons Dr
Tacoma, WA 98431-1000 - Phone
- (253) 968-2960
- NPI assigned
- Feb 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 22290 | MT | Primary |
Addresses
Primary practice location
9040 Fitzsimmons Dr
Tacoma, WA 98431-1000
Mailing address
8326 Jamieson CT SW
Tumwater, WA 98512-2469
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, MT, SD, NE
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Prosser Health Dr
Prosser, WA 99350-7832
Phone (509) 788-6022
Hospital & facility affiliations
- Prosser Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22290 | MT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prosser Public Hospital District of Benton County | Current | Accepting new patients | |
| Community Hospital of Anaconda | Current | Accepting new patients | |
| Faith Regional Physician Services, LLC | Current | Accepting new patients | |
| Butte Pain and Anesthesia Associates, PLLC | Current | Accepting new patients | |
| Community Hospital of Anaconda | Current | Accepting new patients | |
| Livingston Healthcare | Current | Accepting new patients | |
| City of Brookings | Current | Accepting new patients | |
| Community Hospital of Anaconda | Current | Accepting new patients | |
| Livingston Healthcare | Current | Accepting new patients | |
| Livingston Healthcare | Current | Accepting new patients | |
| Faith Regional Physician Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Community Hospital of Anaconda | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| City of Brookings | Current | Accepting new patients | |
| Greater Siouxland Anesthesiology & Pain Prof LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| City of Brookings | Current | Accepting new patients | |
| Prosser Public Hospital District of Benton County | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Amarillo Anesthesia Consultants PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Omh Home Health | Past | Accepting new patients | |
| Okmulgee Memorial Hospital, Inc | Past | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
305 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-8571
401 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-5261
400 S Clark St
Butte, MT 59701
Phone (406) 495-7260
320 Alpenglow Ln
Livingston, MT 59047
Phone (406) 222-3541
104 Centennial Dr
Livingston, MT 59047
Phone (406) 222-0030
104 Centennial Dr
Ste 103
Livingston, MT 59047
Phone (406) 222-0030
4600 38th St
Columbus, NE 68601
Phone (402) 562-3333
47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150
2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194
2700 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 644-7131
201 E 4th St
South Sioux City, NE 68776
Phone (402) 412-2160
300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351
1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075
200 Prosser Health Dr
Prosser, WA 99350
Phone (509) 786-2222
Interoperability endpoints
- bsmith384393@direct.nebraskamed.com
Organizations & group practices 23
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.
-
- Critical Access Hospital
- Prosser, WA
- NPI 1306897681
-
- Anesthesiology Physician
- Butte, MT
- NPI 1205869468
-
- Anesthesiology Physician
- Brookings, SD
- NPI 1932281029
-
- Critical Access Hospital
- Anaconda, MT
- NPI 1205887924
-
- Family Medicine Physician
- Anaconda, MT
- NPI 1538597703
-
- Family Medicine Physician
- Norfolk, NE
- NPI 1265489157
-
- Certified Registered Nurse Anesthetist
- South Sioux City, NE
- NPI 1750916490
Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Prosser, WA
- NPI 1285445056
-
- Specialist
- Walla Walla, WA
- NPI 1518770155
-
- Multi-Specialty Clinic/Center
- Brookings, SD
- NPI 1134558158
-
- Rural Health Clinic/Center
- Arlington, SD
- NPI 1902123581
-
- Surgery Physician
- Anaconda, MT
- NPI 1023623675
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Prosser, WA
- NPI 1306897681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1932175114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8326 JAMIESON CT SW",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985122469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 FITZSIMMONS DR",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311000",
"telephone_number": "253-968-2960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BROCK",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MT",
"license": "22290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.