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WILLIAM D SMITH JR. CRNA
NPI 1013092808
Nurse Anesthetist, Certified Registered in Shelbyville, KY

Active since October 27, 2006
727 HOSPITAL DR, SHELBYVILLE, KY 40065(502) 647-4085(502) 647-4098 Get Directions Write a Review

NPPES record last updated: April 10, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About William D Smith Jr. Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM D SMITH JR. CRNA (NPI 1013092808) is an individual nurse anesthetist, certified registered in Shelbyville, Kentucky, licensed in Kentucky (3002895) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1013092808
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameWILLIAM D SMITH JR.Credential: CRNA
Location Address727 HOSPITAL DRShelbyville, KY 40065-1660
Mailing Address6801 Dixie Hwy, Suite 130Louisville, KY 40258-3913 · (502) 647-4085 · Fax (502) 647-4098
Phone(502) 647-4085
Fax(502) 647-4098
Sole ProprietorNo
Enumeration DateOctober 27, 2006
Last NPPES UpdateApril 10, 2013
✔ NPI 1013092808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in KY · 3002895
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
727 HOSPITAL DR, Shelbyville, KY 40065
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Other Identifiers 5

Medicaid200902460AIN
Medicare UPINP60416KY
Medicare OSCAR/certification00546046KY
Medicaid7100045920KY
Medicare PINP00680830KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William D Smith Jr. Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show William Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medstream Anesthesia PLLC
739 mi
Anesthesiology
2221 LAKESIDE BLVD STE 600
Richardson, TX 75082
  • Reassigned Medicare billing, West Virginia enrollment
  • 87 clinicians in this Medicare group
NPI 1649616160 (828) 210-9386

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOHN W. BURCKLE P.A.-C.
Physician Assistant
727 HOSPITAL DR
SHELBYVILLE, KY 40065
Shelby County (502) 367-3360
HENRY EDWARD MOELLER M.D.
Anesthesiology
727 HOSPITAL DR
SHELBYVILLE, KY 40065
Shelby County (502) 647-4085
BOHDAN SEMAK DO
Emergency Medicine
727 HOSPITAL DR
SHELBYVILLE, KY 40065
Shelby County (502) 647-4000
FAIYAD YASEER MANNAN MD
Internal Medicine
727 HOSPITAL DR
SHELBYVILLE, KY 40065
Shelby County (502) 367-3360
UOFL HEALTH-SHELBYVILLE INC
Clinical Medical Laboratory
727 HOSPITAL DR
SHELBYVILLE, KY 40065
Shelby County (502) 647-4000
DR. RAY C KENNEDY MD
Emergency Medicine
727 HOSPITAL DR
SHELBYVILLE, KY 40065
Shelby County (502) 647-4347
DR. YOLANDA SHIELDS MD
Emergency Medicine
727 HOSPITAL DR
SHELBYVILLE, KY 40065
Shelby County (502) 647-4347
DR. MAIDA E COLON MD
Emergency Medicine
727 HOSPITAL DR
SHELBYVILLE, KY 40065
Shelby County (502) 647-4347

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Smith's NPI number?

The NPI number for William Smith is 1013092808. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is William Smith located?

William Smith practices at 727 Hospital Dr, Shelbyville, KY 40065. The listed phone number is (502) 647-4085.

What is William Smith's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is William Smith enrolled in Medicare?

Yes. William Smith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for William Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Smith reassigns Medicare benefits to Medstream Anesthesia PLLC (Richardson, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for William Smith was last updated on April 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.