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

Individual provider Certified Registered Nurse Anesthetist · NPI 1902312804

Tevis Clark Smith, CRNA, RN is a Certified Registered Nurse Anesthetist (CRNA) in Bowling Green, Kentucky. Qualified in 2017, 9 years ago. Practices with Commonwealth Health Corporation, Inc, a 263-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
9
Licensed in
KY
In the registry since
2017
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

250 Park St
Bowling Green, KY 42101-1760
Phone: (270) 745-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 119117 (KY)

Record details

NPI number1902312804
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA , RN
Sole proprietorYes
NPI enumeratedDecember 14, 2017
Last updated in NPPESDecember 14, 2017
Mailing address680 Ralph Morris Rd, Glasgow, KY 42141-9647

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 Commonwealth Health Corporation, Inc. — 263 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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