Individual provider Active NPI

Brock Smith, CRNA

  • Certified Registered Nurse Anesthetist
  • Tacoma, WA
National Provider Identifier
1932175114
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
22290 Issued in MT
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

Updated by the provider on Jul 13, 2026

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 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, NE4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20060220000419 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820980832 Reassigns benefits to 1 organization
I20100430000522 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820980832 Reassigns benefits to 3 organizations
I20201208001431 SD Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820980832 Reassigns benefits to 1 organization
I20210218001837 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820980832 Reassigns benefits to 2 organizations

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
Prosser Public Hospital District of Benton CountyGroup PAC ID 6709787872, 111 clinicians

Practice addresses (Care Compare)

200 Prosser Health Dr
Prosser, WA 99350-7832
Phone (509) 788-6022

Hospital & facility affiliations

  • Prosser Memorial Hospital Hospital, Prosser, WA, CCN 501312

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22290MTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Prosser Public Hospital District of Benton County CurrentSince Sep 15, 2025 Accepting new patients
Community Hospital of Anaconda Current Accepting new patients
Faith Regional Physician Services, LLC CurrentSince May 5, 2022 Accepting new patients
Butte Pain and Anesthesia Associates, PLLC CurrentSince Sep 13, 2010 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 CurrentSince Feb 4, 2017 Accepting new patients
Livingston Healthcare CurrentSince Dec 1, 2020 Accepting new patients
Livingston Healthcare CurrentSince Dec 1, 2020 Accepting new patients
Faith Regional Physician Services, LLC Nurse Anesthetist, Certified Registered CurrentSince May 5, 2022 Accepting new patients
Community Hospital of Anaconda Nurse Anesthetist, Certified Registered CurrentSince Feb 4, 2017 Accepting new patients
City of Brookings CurrentSince Nov 18, 2020 Accepting new patients
Greater Siouxland Anesthesiology & Pain Prof LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
City of Brookings CurrentSince Nov 18, 2020 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Sep 15, 2025 Accepting new patients
Jackson County Memorial Hospital Authority PastSince Dec 31, 2008 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

  • Direct secure messaging: 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.

View all 23

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": "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.

Verify at the official NPI Registry.