MRS. MISTY D SMITH CRNA
NPI 1790077089
Nurse Anesthetist, Certified Registered in Bossier City, LA

Active since May 05, 2011Accepts Medicare Assignment
620 MANASSAS CIR, BOSSIER CITY, LA 71112(318) 458-9088 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Misty D Smith Crna NPPES

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

MRS. MISTY D SMITH CRNA (NPI 1790077089) is an individual nurse anesthetist, certified registered in Bossier City, Louisiana, licensed in Louisiana (AP06370) and active in the NPI registry since May 2011. She is affiliated with Willis Knighton Medical Center and is a graduate of Other (2010).

NPPES Registry Identity

NPI1790077089
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMRS. MISTY D SMITHCredential: CRNA
Location Address620 MANASSAS CIRBossier City, LA 71112-4842
Mailing Address620 Manassas CirBossier City, LA 71112-4842 · (318) 458-9088
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateMay 5, 2011
Last NPPES UpdateJuly 29, 2022
NPPES CertifiedJuly 29, 2022
✔ NPI 1790077089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in LA · AP06370
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 794816 (LA)
620 MANASSAS CIR, Bossier City, LA 71112

Other Identifiers 1

Other794816LA · Lic #

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

Mrs. Misty D 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 ID4284808486
PECOS Enrollment IDI20131031000361

Medicare Billing Reassignments

9

Medicare enrollment records show Misty Smith reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
445 ASHLEY RIDGE BLVD
Shreveport, LA 71106
  • Reassigned Medicare billing, Louisiana enrollment
  • 25 clinicians in this Medicare group
Anesthesiology
745 OLIVE ST, SUITE 100
Shreveport, LA 71104
  • Reassigned Medicare billing, Louisiana enrollment
  • 6 clinicians in this Medicare group
Anesthesiology
1 SAINT MARY PL, ANESTHESIA DEPT
Shreveport, LA 71101
  • Reassigned Medicare billing, Louisiana enrollment
  • 78 clinicians in this Medicare group
Family Medicine
1541 KINGS HWY
Shreveport, LA 71103
  • Reassigned Medicare billing, Louisiana enrollment
  • 1,167 clinicians in this Medicare group
Nurse Practitioner
1541 KINGS HWY
Shreveport, LA 71103
  • Reassigned Medicare billing, Louisiana enrollment
  • 174 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
3217 MABEL ST
Shreveport, LA 71103
  • Reassigned Medicare billing, Louisiana enrollment
  • 32 clinicians in this Medicare group
Anesthesiology
2600 GREENWOOD RD
Shreveport, LA 71103
  • Reassigned Medicare billing, Louisiana enrollment
  • 146 clinicians in this Medicare group
Emergency Medicine
1635 MARVEL ST
Coushatta, LA 71019
  • Reassigned Medicare billing, Louisiana enrollment
  • 25 clinicians in this Medicare group
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Louisiana enrollment
  • 29 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 2

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.
34 services32 patients
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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71112 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

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 Misty Smith's NPI number?

The NPI number for Misty Smith is 1790077089. It was assigned to this individual provider in the NPPES registry on May 5, 2011.

Where is Misty Smith located?

Misty Smith practices at 620 Manassas Cir, Bossier City, LA 71112. The listed phone number is (318) 458-9088.

What is Misty Smith's specialty?

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

Is Misty Smith enrolled in Medicare?

Yes. Misty 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 Misty Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Misty Smith reassigns Medicare benefits to 9 organizations: Tandem Anesthesia LLC (Shreveport, LA), Shreveport Surgery Center Ptrshp (Shreveport, LA), Medical Center Anesthesiologists (Shreveport, LA), Lsu Health Sciences Center Shreveport Faculty Group Practice (Shreveport, LA), University Health Shreveport LLC (Shreveport, LA) and 4 more organizations, listed in the Medicare section above. 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 Misty Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Misty Smith accept?

Health plans from HMO Louisiana and UnitedHealthcare list Misty 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 Misty Smith affiliated with any hospitals?

According to CMS data, Misty Smith is affiliated with Willis Knighton Medical Center.

When was this NPI record last updated?

The NPPES record for Misty Smith was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.