CHARLES F SMITH CRNA
NPI 1104043512
Anesthesiology in Janesville, WI
About Charles F Smith Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES F SMITH CRNA (NPI 1104043512) is an individual anesthesiology provider in Janesville, Wisconsin, licensed in Wisconsin (109611) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Stoughton Hospital, and is a graduate of University Of Minnesota Medical School (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Charles F 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.
Medicare Billing Reassignments
2Medicare enrollment records show Charles Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Janesville, WI 53548
- Reassigned Medicare billing, Wisconsin enrollment
- 1,155 clinicians in this Medicare group
Stoughton, WI 53589
- Reassigned Medicare billing, Wisconsin enrollment
- 80 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Stoughton Hospital
Critical Access Hospitals · Stoughton, WIOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JANESVILLE, WI 53548
JANESVILLE, WI 53548
JANESVILLE, WI 53548
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 Charles Smith's NPI number?
The NPI number for Charles Smith is 1104043512. It was assigned to this individual provider in the NPPES registry on April 19, 2007.
Where is Charles Smith located?
Charles Smith practices at 1000 Mineral Point Ave, Janesville, WI 53548. The listed phone number is (608) 756-6000.
What is Charles Smith's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Charles Smith enrolled in Medicare?
Yes. Charles 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.
Which organizations bill Medicare for Charles Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Smith reassigns Medicare benefits to 2 organizations: Mercy Health System Corporation (Janesville, WI) and Stoughton Hospital Association (Stoughton, WI). Each 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 Charles Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Charles Smith affiliated with any hospitals?
According to CMS data, Charles Smith is affiliated with Stoughton Hospital.
When was this NPI record last updated?
The NPPES record for Charles Smith was last updated on May 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Charles F Smith, CRNA · NPI 1104043512
Anesthesiology physician in Janesville, Wisconsin. Individual provider, active in the CMS NPPES registry since April 19, 2007.
## Identity
- **NPI:** 1104043512 (Entity type: Individual)
- **Enumerated:** April 19, 2007
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 109611 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 MINERAL POINT AVE, Janesville, WI 53548-2940
- **Phone:** (608) 756-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mercy Health System Corporation (NPI 1093768962, Janesville, WI); Stoughton Hospital Association (NPI 1679558647, Stoughton, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 1997
## Record status
- **NPPES last updated:** May 30, 2008
- **Other identifiers:** Medicare PIN 430003222 (MN); Medicaid 43367200 (WI); Medicaid 02818100 (MN); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1104043512) · Data from the CMS NPPES public registry.