Kyle Everett Smith, DNP-CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

209023445 Issued in IL

Practice address

1418 College Dr
Mount Carmel, IL 62863-2638

Phone

(618) 262-8621

NPI assigned

Jun 25, 2021

Last updated

Jun 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wabash General Hospital DistrictGroup PAC ID 8022908185, 77 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wabash General Hospital 1 Hospital, Mount Carmel, IL, CCN 141327

Merit-based Incentive Payment System (MIPS)

Final score

64.72 of 100Reported as group

Quality

65.5

Promoting interoperability

100

Improvement activities

40

Cost

10

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wabash General Hospital District

  • General Practice Physician
  • Mount Carmel, IL
  • NPI 1295834208
  Medicare reassignment Care Compare group NPD
• Wabash General Hospital District

  • Critical Access Hospital
  • Mount Carmel, IL
  • NPI 1194728808
  Medicare reassignment
• Wabash General Hospital District

  • Ambulance
  • Mount Carmel, IL
  • NPI 1194814178
  NPD
• Wabash General Hospital District

  dba Wabash Community Healht Center Counseling

  • Federally Qualified Health Center (FQHC)
  • Mount Carmel, IL
  • NPI 1922645910
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Wabash General Hospital District

  • Critical Access Hospital
  • Mount Carmel, IL
  • NPI 1194728808
  Care Compare affiliation
• Wabash General Hospital District

  • Ambulance
  • Mount Carmel, IL
  • NPI 1194814178

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1972173698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9274 N 1400 BLVD",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628634598",
            "telephone_number": "812-664-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 COLLEGE DR",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628632638",
            "telephone_number": "618-262-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KYLE",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "credential": "DNP-CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209023445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Wade Sigler, D.C.
• Patricia Ann Skees, R.N.
• Christopher Slane, CRNA
• Karsten B Slater, M.D.
• Casey Smith, BA
• Shauna Smith, LSW
• South Eastern Illinois Counseling Center Inc
• Southeastern Il Agency on Aging, Inc
• Spencer Terrace
• Teri N Stangle, M.A.

• Certified Registered Nurse Anesthetist in Mount Carmel, IL
• Providers in Mount Carmel, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.