JUSTIN DAVID SMALLRIDGE CRNA
NPI 1417904848
Nurse Anesthetist, Certified Registered in Weston, WV

Q: What is Justin Smallridge's NPI number?

The NPI number for Justin Smallridge is 1417904848. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Q: What is Justin Smallridge's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Justin Smallridge was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since May 30, 2006Accepts Medicare Assignment

88.31/100

CMS Quality Rating

230 HOSPITAL PLZ, WESTON, WV 26452(304) 269-8000(304) 269-8090 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2025, Mar 17, 2018, Jan 18, 2018 (3 updates tracked since 2018).

On this page

About Justin David Smallridge Crna NPPES

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

JUSTIN DAVID SMALLRIDGE CRNA (NPI 1417904848) is an individual nurse anesthetist, certified registered in Weston, West Virginia, licensed in West Virginia (APRN58541) and active in the NPI registry since May 2006. He is affiliated with Stonewall Jackson Memorial Hospital and is a graduate of Other (2005).

NPPES Registry Identity

NPI1417904848

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameJUSTIN DAVID SMALLRIDGECredential: CRNA

Location Address230 HOSPITAL PLZWeston, WV 26452-8558

Mailing Address230 Hospital PlzWeston, WV 26452-8558 · (304) 269-8000 · Fax (304) 269-8090

Phone(304) 269-8000

Fax(304) 269-8090

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateMay 30, 2006

Last NPPES UpdateMarch 11, 20253 updates tracked since enumeration

NPPES CertifiedMarch 11, 2025

✔ NPI 1417904848 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 WV · APRN58541

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.

230 HOSPITAL PLZ, Weston, WV 26452

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Other Identifiers 5

Other0207026000WV · Medicaid Group

Other1417904848WV · Mt State Blue Cross & Blue Shield

Medicaid3810005046WV

OtherP00974070WV · Medicare Railroad

Other9333201WV · Medicare Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Justin David Smallridge 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 ID2769491422

PECOS Enrollment IDI20060407000638

Medicare Billing Reassignments

Medicare enrollment records show Justin Smallridge reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Stonewall Jackson Memorial Hospital Company

Same address

Rural

230 HOSPITAL PLZ
Weston, WV 26452

Reassigned Medicare billing, West Virginia enrollment
134 clinicians in this Medicare group

NPI 1477559433 (304) 269-8000

St Josephs Hospital Of Buckhannon Inc

14 mi

Critical Access

1 AMALIA DR
Buckhannon, WV 26201

Reassigned Medicare billing, West Virginia enrollment
Medicare enrollment name: St Joseph's Hospital Of Buckhannon Inc
189 clinicians in this Medicare group

NPI 1124005061 (304) 473-2000

Northstar Anesthesia Of West Virginia, PLLC

1,015 mi

Anesthesiology

6225 N STATE HIGHWAY 161 STE 200
Irving, TX 75038

Reassigned Medicare billing, West Virginia enrollment
263 clinicians in this Medicare group

NPI 1821448150 (214) 687-0001

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.

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.

18 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Stonewall Jackson Memorial Hospital

Acute Care Hospitals · Weston, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510038

Location230 Hospital PlazaWeston, WV 26452 · Lewis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26452 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

$124.46 typical visit price

range $53.20 – $164.59

Typical copayment $31.11 (range $13.30 – $41.14)

Most-billed visit code 99204

Established Patient

$66.84 typical visit price

range $16.47 – $133.29

Typical copayment $16.71 (range $4.11 – $33.32)

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.

88.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

86.25

Improvement Activities

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.

STONEWALL JACKSON MEMORIAL HOSPITAL

Clinic/Center (Physical Therapy)