Individual provider Active NPI

Kendra Lyn Smith, CRNA

  • Certified Registered Nurse Anesthetist
  • Marion, IN
National Provider Identifier
1952873648
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.0020319 Issued in OH
Practice address
441 N Wabash Ave
Marion, IN 46952-2612
Phone
(765) 660-6000
NPI assigned
Dec 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 28247859A IN
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.0020319 OH Primary

Addresses

Primary practice location

441 N Wabash Ave
Marion, IN 46952-2612

Mailing address

16145 Caldera LN
Naples, FL 34110-2831
Phone (208) 681-8157

Other practice location 1

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 228-3335

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190403001921 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658612528 Reassigns benefits to 4 organizations
I20210910000725 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658612528 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iceland Anesthesia Management LLCGroup PAC ID 7618372996, 75 clinicians
Australia Anesthesia Management LLCGroup PAC ID 9436671864, 58 clinicians
Aas Indiana LLCGroup PAC ID 4688045115, 43 clinicians
Anesthesia Associates of Lima IncGroup PAC ID 4486553013, 53 clinicians

Practice addresses (Care Compare)

1001 Bellefontaine Ave
FL 7
Lima, OH 45804-2800
Phone (419) 998-4477

1400 E 9TH St
Rochester, IN 46975-8931
Phone (574) 223-3141

200 High Park Ave
Goshen, IN 46526-4810
Phone (574) 364-1000

200 Saint Clair Ave
Saint Marys, OH 45885-2400
Phone 41939433353569

2401 W University Ave
Ball Outpatient Surgery Center
Muncie, IN 47303-3428
Phone (765) 747-3111

730 W Market St
Lima, OH 45801-4602
Phone (419) 277-3361

7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500

800 W Main St
Coldwater, OH 45828-1613
Phone (419) 678-2341

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CRNA.0020319OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercer County Joint Township Community Hospital CurrentSince Jul 26, 2021 Accepting new patients
Mercer County Joint Township Community Hospital CurrentSince Jul 26, 2021 Accepting new patients
Anesthesia Associates of Lima Inc Anesthesiology CurrentSince Nov 16, 2021 Accepting new patients
KS Tko Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jun 2, 2025 Accepting new patients
Promedica Central Physicians CurrentSince Jun 19, 2022 Accepting new patients
Diagnostic Pathology, LLC Current Accepting new patients
Promedica Central Physicians CurrentSince Jun 19, 2022 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Anesthesiology CurrentSince Jul 1, 2025 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Mar 17, 2025 Accepting new patients
Australia Anesthesia Management LLC Anesthesiology CurrentSince Jan 22, 2026 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Anesthesiology CurrentSince Jul 1, 2025 Accepting new patients
Clinical Colleagues Inc Anesthesiology CurrentSince Sep 8, 2024 Accepting new patients
Aas Indiana LLC Anesthesiology CurrentSince Apr 1, 2023 Accepting new patients
Joint Township District Memorial Hospital CurrentSince Sep 21, 2021 Accepting new patients
U S Anesthesia Partners of Kentucky PSC Anesthesiology CurrentSince Sep 1, 2023 Accepting new patients
JTDM Family Practice LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

10300 N Illinois St
Ste 1300
Carmel, IN 46290
Phone (317) 688-3690

1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000

10315 Dawsons Creek Blvd
Ste Ab
Fort Wayne, IN 46825
Phone (219) 436-7875

1721 Magnavox Way
#A
Fort Wayne, IN 46804
Phone (260) 250-0001

4105 Dicke Rd
Fort Wayne, IN 46804
Phone (260) 268-1000

1721 Magnavox Way
Fort Wayne, IN 46804
Phone (260) 250-0001

1605 Winsted Dr
Goshen, IN 46526
Phone (574) 271-0013

200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141

2001 Stults Rd
Huntington, IN 46750
Phone (219) 355-3000

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341

L3688
Columbus, OH 43260

L3982
Columbus, OH 43260

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

1001 Bellefontaine Ave
Fl 7
Lima, OH 45804
Phone (419) 998-4477

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

200 Saint Clair Ave
Saint Marys, OH 45885
Phone (419) 394-3387

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

Organizations & group practices 18

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 18

Hospital & facility affiliations 4

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": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1952873648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16145 CALDERA LN",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341102831",
            "telephone_number": "208-681-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 N WABASH AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522612",
            "telephone_number": "765-660-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Bellefontaine Ave",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458042800",
            "country_code": "US",
            "telephone_number": "419-228-3335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KENDRA",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "28247859A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.0020319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.