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MRS. DONNA DORMAN SMITH CRNA
NPI 1386630846
Nurse Anesthetist, Certified Registered in Jacksonville, FL

Active since September 21, 2005Accepts Medicare Assignment
4800 BELFORT ROAD, JACKSONVILLE, FL 32256(904) 265-4801(904) 265-4811 Get Directions Write a Review

NPPES record last updated: May 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Donna Dorman Smith Crna NPPES

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

MRS. DONNA DORMAN SMITH CRNA (NPI 1386630846) is an individual nurse anesthetist, certified registered in Jacksonville, Florida, licensed in Florida (ARNP9244967) and active in the NPI registry since September 2005. She is a graduate of Other (2003).

NPPES Registry Identity

NPI1386630846
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMRS. DONNA DORMAN SMITHCredential: CRNA
Location Address4800 BELFORT ROADJacksonville, FL 32256
Mailing Address4800 Belfort RoadJacksonville, FL 32256 · (904) 483-5850 · Fax (904) 483-5860
Phone(904) 265-4801
Fax(904) 265-4811
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 21, 2005
Last NPPES UpdateMay 23, 2014
✔ NPI 1386630846 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 FL · ARNP9244967
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.
4800 BELFORT ROAD, Jacksonville, FL 32256
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Other Names 1

Former Name (1)Ms. Donna Dorman Smith

Other Identifiers 2

Medicaid307782900FL
Medicare PINU8163YFL

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

Mrs. Donna Dorman 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 ID2860476868
PECOS Enrollment IDI20061012000535

Areas of Expertise CMS Part B claims 4

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.
170 services170 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.
89 services89 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
83 services83 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
60 services60 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32256 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
95%91 patients4/55-star benchmark: 100%
Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
98%128 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

DEBRA ANN FORTE CRNA
Nurse Anesthetist, Certified Registered
4800 BELFORT ROAD
JACKSONVILLE, FL 32256
Duval County (904) 483-5850
MR. ERIC JAMES SEYBOLT CRNA
Nurse Anesthetist, Certified Registered
4800 BELFORT ROAD
JACKSONVILLE, FL 32256
Duval County (904) 265-4801
MS. MICHELE DENISE ALFORD CRNA
Nurse Anesthetist, Certified Registered
4800 BELFORT ROAD
JACKSONVILLE, FL 32256
Duval County (904) 265-4801
DR. DANIEL GERARD KOHM MD
Internal Medicine (Gastroenterology)
4800 BELFORT ROAD
JACKSONVILLE, FL 32256
Duval County (904) 398-7205
DR. VIKRAM DEVEGOWDA GOPAL MD
Internal Medicine (Gastroenterology)
4800 BELFORT ROAD, 2ND FLOOR
JACKSONVILLE, FL 32256
Duval County (904) 398-7205
RUSSELL SCOTT AVERA CRNA
Nurse Anesthetist, Certified Registered
4800 BELFORT ROAD
JACKSONVILLE, FL 32256
Duval County (904) 265-4801
LINDA ANN DITEODORO MD
Internal Medicine (Gastroenterology)
4800 BELFORT ROAD, 2ND FLOOR
JACKSONVILLE, FL 32256
Duval County (904) 398-7205

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 Donna Smith's NPI number?

The NPI number for Donna Smith is 1386630846. It was assigned to this individual provider in the NPPES registry on September 21, 2005. The provider is also known as Ms. Donna Dorman Smith.

Where is Donna Smith located?

Donna Smith practices at 4800 Belfort Road, Jacksonville, FL 32256. The listed phone number is (904) 265-4801.

What is Donna Smith's specialty?

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

Is Donna Smith enrolled in Medicare?

Yes. Donna 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 Donna Smith was last updated on May 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.