MATTHEW A. SMITH CRNA
NPI 1114011905
Nurse Anesthetist, Certified Registered in Tooele, UT
About Matthew A. Smith Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW A. SMITH CRNA (NPI 1114011905) is an individual nurse anesthetist, certified registered in Tooele, Utah, licensed in Texas (722182) and active in the NPI registry since October 2006. He is affiliated with Mountain West Medical Center and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 13
Accepted Insurance
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
Matthew A. 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 Reassignment
Medicare enrollment records show Matthew Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tooele, UT 84074
- Reassigned Medicare billing, Utah enrollment
- Medicare enrollment name: Desert Peak Anesthesia, LLC
- 16 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mountain West Medical Center
Acute Care Hospitals · Tooele, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84074 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Matthew Smith's NPI number?
The NPI number for Matthew Smith is 1114011905. It was assigned to this individual provider in the NPPES registry on October 3, 2006.
Where is Matthew Smith located?
Matthew Smith practices at 2055 N Main St., Tooele, UT 84074. The listed phone number is (435) 843-3600.
What is Matthew Smith's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Matthew Smith enrolled in Medicare?
Yes. Matthew 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 organization bills Medicare for Matthew Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Smith reassigns Medicare benefits to Deseret Peak Anesthesia, LLC (Tooele, UT). 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 Matthew Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Smith accept?
Health plans from Select Health list Matthew Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Matthew Smith affiliated with any hospitals?
According to CMS data, Matthew Smith is affiliated with Mountain West Medical Center.
When was this NPI record last updated?
The NPPES record for Matthew Smith was last updated on February 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Matthew A. Smith, CRNA · NPI 1114011905
Nurse Anesthetist, Certified Registered physician in Tooele, Utah. Individual provider, active in the CMS NPPES registry since October 3, 2006.
## Identity
- **NPI:** 1114011905 (Entity type: Individual)
- **Enumerated:** October 3, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 722182 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2055 N MAIN ST., Tooele, UT 84074
- **Phone:** (435) 843-3600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Deseret Peak Anesthesia, LLC (NPI 1518972280, Tooele, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** February 19, 2009
- **Other identifiers:** Medicaid 180263901 (TX); Medicaid 147826100 (TX); Other 86049U (TX); and 10 more
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Source: [NPI Profile](https://npiprofile.com/npi/1114011905) · Data from the CMS NPPES public registry.