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

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: July 26, 2026.

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

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
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

Other Identifiers 5

Other0207026000WV · Medicaid Group
Other1417904848WV · Mt State Blue Cross & Blue Shield
Medicaid3810005046WV
OtherP00974070WV · Medicare Railroad
Other9333201WV · Medicare Group

Accepted Insurance

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

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

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
Quality86.25
Improvement Activities40

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.

Clinic/Center (Physical Therapy)
230 HOSPITAL PLZ
WESTON, WV 26452
Clinic/Center (Oncology)
230 HOSPITAL PLZ
WESTON, WV 26452
General Acute Care Hospital
230 HOSPITAL PLZ
WESTON, WV 26452
Emergency Medicine
230 HOSPITAL PLZ
WESTON, WV 26452
Dietitian, Registered
230 HOSPITAL PLZ
WESTON, WV 26452
Urology
230 HOSPITAL PLZ
WESTON, WV 26452
Obstetrics & Gynecology
230 HOSPITAL PLZ
WESTON, WV 26452
Physical Therapy Assistant
230 HOSPITAL PLZ
WESTON, WV 26452

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 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.

Where is Justin Smallridge located?

Justin Smallridge practices at 230 Hospital Plz, Weston, WV 26452. The listed phone number is (304) 269-8000.

What is Justin Smallridge's specialty?

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

Is Justin Smallridge enrolled in Medicare?

Yes. Justin Smallridge 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.

What insurance does Justin Smallridge accept?

Health plans from CareSource list Justin Smallridge 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 Justin Smallridge affiliated with any hospitals?

According to CMS data, Justin Smallridge is affiliated with Stonewall Jackson Memorial Hospital.

When was this NPI record last updated?

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