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

Shannon Weiss Smith

Individual provider Critical Care Medicine Registered Nurse · NPI 1487222733

Shannon Weiss Smith is a Certified Registered Nurse Anesthetist (CRNA) in Las Cruces, New Mexico. Qualified in 2021, 5 years ago. Practices with Central Kentucky Anesthesia PSC, a 59-clinician group and accepts Medicare assignment. Licensed in Kentucky and South Carolina.

Years since qualifying
5
Licensed in
KY, SC
In the registry since
2021
Specialties on file
2

Practice location Address checks out

555 S Telshor Blvd Ste 100B
Las Cruces, NM 88011-3644
Phone: (575) 541-4206
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4000524 (KY)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 235237 (SC)

Record details

NPI number1487222733
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 14, 2021
Last updated in NPPESFebruary 21, 2025
Certification dateFebruary 21, 2025
Mailing address555 S Telshor Blvd Ste 100b, Las Cruces, NM 88011-3644

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Central Kentucky Anesthesia P.S.C. — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Las Cruces