Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew Smith, CRNA

Individual provider Registered Nurse · NPI 1619488152

Matthew Smith, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Shawnee, Kansas. Qualified in 2017, 9 years ago. Practices with Saint Lukes Physician Group Inc, a 1,229-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
9
Licensed in
KS
In the registry since
2017
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

9100 W 74th St
Shawnee, KS 66204-4004
Phone: (913) 632-2230
Fax: (913) 748-9319
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 23401 Prairie Star Pkwy, Lenexa, KS 66227-7268 — (913) 676-8550

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 557553 (KS)
Registered Nurse Taxonomy 163W00000X · Licence 140612 (KS)

Record details

NPI number1619488152
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 23, 2017
Last updated in NPPESMarch 17, 2018
Mailing addressPo Box 411895 Dept 109, Kansas City, MO 64141

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Saint Lukes Physician Group Inc — 1229 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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