SHANE RICHARD SMITH CRNA
NPI 1063137677
Nurse Anesthetist, Certified Registered in Fairbanks, AK

Active since October 05, 2022Accepts Medicare Assignment
1650 COWLES ST, FAIRBANKS, AK 99701(907) 452-8181 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shane Richard Smith Crna NPPES

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

SHANE RICHARD SMITH CRNA (NPI 1063137677) is an individual nurse anesthetist, certified registered in Fairbanks, Alaska, licensed in Alaska (145179) and active in the NPI registry since October 2022. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1063137677
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameSHANE RICHARD SMITHCredential: CRNA
Location Address1650 COWLES STFairbanks, AK 99701-5907
Mailing Address2 N 3000 ESugar City, ID 83448-1220 · (360) 600-7852
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 5, 2022
NPPES CertifiedOctober 5, 2022
NPI 1063137677 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 AK · 145179
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.

1650 COWLES ST, Fairbanks, AK 99701

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shane Richard Smith Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870962574
PECOS Enrollment IDI20221219001645

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
27 services27 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
13 services13 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.20 typical visit price
range $71.33 – $222.64
Typical copayment $42.05 (range $17.83 – $55.66)
Most-billed visit code 99204
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine
1650 COWLES ST
FAIRBANKS, AK 99701
Emergency Medicine (Emergency Medical Services)
1650 COWLES ST
FAIRBANKS, AK 99701
Emergency Medicine (Emergency Medical Services)
1650 COWLES ST, FAIRBANKS
FAIRBANKS, AK 99701
Emergency Medicine (Emergency Medical Services)
1650 COWLES ST
FAIRBANKS, AK 99701
Emergency Medicine (Emergency Medical Services)
1650 COWLES ST
FAIRBANKS, AK 99701
Emergency Medicine (Emergency Medical Services)
1650 COWLES ST
FAIRBANKS, AK 99701
Emergency Medicine (Emergency Medical Services)
1650 COWLES ST
FAIRBANKS, AK 99701
Emergency Medicine (Emergency Medical Services)
1650 COWLES ST
FAIRBANKS, AK 99701

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 Shane Smith's NPI number?

The NPI number for Shane Smith is 1063137677. It was assigned to this individual provider in the NPPES registry on October 5, 2022.

Where is Shane Smith located?

Shane Smith practices at 1650 Cowles St, Fairbanks, AK 99701. The listed phone number is (907) 452-8181.

What is Shane Smith's specialty?

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

Is Shane Smith enrolled in Medicare?

Yes. Shane Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shane Smith was last updated on October 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.