Doctor profile · Federal record
Dr. SHANE SMITH, CRNA
Certified Registered Nurse Anesthetist (CMS: CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)) · FAIRBANKS, AK
- NPI 1063137677
- Accepts Medicare
- 4 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1650 COWLES ST
FAIRBANKS, AK 997015907
(907) 452-8181 - Mailing address
-
2 N 3000 E
SUGAR CITY, ID 834481220
Credentials & registration
- NPI registered
- October 2022 — 4 yrs on file
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- Alaska #145179
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063137677. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
62
Distinct HCPCS
2
Medicare allowed
$11,460
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00142 |
Anesthesia for lens surgery | 46 | 41 | $182 | |
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 16 | 16 | $193 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 20. This provider delivers 3.1× the peer median.