SHANE RICHARD SMITH CRNA
NPI 1063137677
Nurse Anesthetist, Certified Registered in Fairbanks, AK
NPI Status: Active since October 05, 2022
Contact Information
1650 COWLES ST
FAIRBANKS, AK
ZIP 99701
Phone: (907) 452-8181
- Individual
- Male
- Years of Experience 4
- Nurse Anesthetist, Certified Registered
- Accepts Medicare Approved Payment
About SHANE SMITH
This page provides the complete NPI Profile along with additional information for Shane Smith, a provider established in Fairbanks, Alaska with a medical specialization in Nurse Anesthetist, Certified Registered and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1063137677 assigned on October 2022. The practitioner's primary taxonomy code is 367500000X with license number 145179 (AK). The provider is registered as an individual and his NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.
- NPI
- 1063137677
- Provider Name
- SHANE RICHARD SMITH CRNA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1650 COWLES ST FAIRBANKS, AK 99701
- Location Phone
- (907) 452-8181
- Mailing Address
- 2 N 3000 E SUGAR CITY, ID 83448
- Mailing Phone
- (360) 600-7852
- Medical School Name
- OTHER
- Graduation Year
- 2022
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-05-2022
- Last Update Date
- 10-05-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 145179
- License State
- AK
- Taxonomy Description
- (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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Medicare Participation & PECOS Enrollment Status
Shane Smith is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 3870962574
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20221219001645
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $42.05 for a new patient copayment and $22.6 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 99701 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $168.2
- Minimum New Patient Price $71.33
- Maximum New Patient Price $222.64
- Average New Patient Copayment $42.05
- Minimum New Patient Copayment $17.83
- Maximum New Patient Copayment $55.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $90.4
- Minimum Established Patient Price $21.84
- Maximum Established Patient Price $181.48
- Average Established Patient Copayment $22.6
- Minimum Established Patient Copayment $5.46
- Maximum Established Patient Copayment $45.37
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 0 | 6 | 3 | 1 | 3 | 7 | 6 | 7 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 12 | 3 | 2 | 3 | 14 | 6 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 1 + 2 + 3 + 2 + 3 + 1 + 4 + 6 + 1 + 4 + 24 = 53 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 53 = 7 | 7 |
The NPI number 1063137677 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
OWEN QUIGLEY HANLEY MD
Internal Medicine
1650 COWLES ST
FAIRBANKS, AK
ZIP 99701
VICTOR CHARLES BELL MD
Psychiatry & Neurology
(Psychiatry)
1650 COWLES ST
FAIRBANKS MEMORIAL HOSPITAL
FAIRBANKS, AK
ZIP 99701
KENNETH DOUGLAS GLAESER MD
Emergency Medicine
(Emergency Medical Services)
1650 COWLES ST
FAIRBANKS, AK
ZIP 99701
ART J STRAUSS MD
Emergency Medicine
(Emergency Medical Services)
1650 COWLES ST
FAIRBANKS
FAIRBANKS, AK
ZIP 99701
DR. MARIA EUGENIA MANDICH MD
Emergency Medicine
(Emergency Medical Services)
1650 COWLES ST
FAIRBANKS, AK
ZIP 99701
CAROL J PHILLIPS MD
Emergency Medicine
(Emergency Medical Services)
1650 COWLES ST
FAIRBANKS, AK
ZIP 99701
MARK O SIMON MD
Emergency Medicine
(Emergency Medical Services)
1650 COWLES ST
FAIRBANKS, AK
ZIP 99701
BRIAN A TANSKY MD
Emergency Medicine
(Emergency Medical Services)
1650 COWLES ST
FAIRBANKS, AK
ZIP 99701
MICHAEL REX BURTON MD
Emergency Medicine
(Emergency Medical Services)
1650 COWLES ST
FAIRBANKS, AK
ZIP 99701
ROBERT DAVID BECK MD
Orthopaedic Surgery
1650 COWLES ST
FAIRBANKS, AK
ZIP 99701
DR. ROMEL C WRENN M.D.
Internal Medicine
(Interventional Cardiology)
1650 COWLES ST
FAIRBANKS, AK
ZIP 99701
PATHOLOGY CONSULTANTS INC.
Clinical Medical Laboratory
1650 COWLES ST
FAIRBANKS, AK
ZIP 99701
SCOTT LAWRENCE CANNON M.D.
Specialist/Technologist, Pathology
1650 COWLES ST
FAIRBANKS, AK
ZIP 99701
ANDREW JOHN EVANGER M.D.
Specialist/Technologist, Pathology
1650 COWLES ST
FAIRBANKS, AK
ZIP 99701
MARK ANDREW BUTCHER M.D.
Specialist/Technologist, Pathology
1650 COWLES ST
FAIRBANKS, AK
ZIP 99701
FAIRBANKS MEMORIAL HOSPITAL
Durable Medical Equipment & Medical Supplies
1650 COWLES ST
FAIRBANKS, AK
ZIP 99701
WILLIAM FRANKLIN STODDARD MD
Anesthesiology
1650 COWLES ST
FAIRBANKS, AK
ZIP 99701
SHAN JIANG MD
Anesthesiology
1650 COWLES ST
FAIRBANKS, AK
ZIP 99701
MARK NATHAN BURTON M.D.
Radiology
(Diagnostic Radiology)
1650 COWLES ST
FAIRBANKS, AK
ZIP 99701
JANICE PIN-WANG CHEN M.D.
Radiology
(Diagnostic Radiology)
1650 COWLES ST
FAIRBANKS, AK
ZIP 99701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063137677, enumerated as an "individual" on October 05, 2022.
The provider is located at 1650 COWLES ST FAIRBANKS, AK 99701 and the phone number is (907) 452-8181.
Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.