MARY JO SMITH CRNA
NPI 1528164019
Nurse Anesthetist, Certified Registered in Saint Paul, MN

NPI Status: Active since September 15, 2006

Contact Information

333 SMITH AVE N
SAINT PAUL, MN
ZIP 55102
Phone: (651) 735-0501
Fax: (651) 735-1870

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  • Individual
  • Female
  • Years of Experience 37
  • Nurse Anesthetist, Certified Registered
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About MARY SMITH

This page provides the complete NPI Profile along with additional information for Mary Smith, a provider established in Saint Paul, Minnesota with a medical specialization in Nurse Anesthetist, Certified Registered and more than 37 years of experience. The healthcare provider is registered in the NPI registry with number 1528164019 assigned on September 2006. The practitioner's primary taxonomy code is 367500000X with license number R1099719 (MN). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1528164019
Provider Name
MARY JO SMITH CRNA
Gender
Female
Entity Type
Individual
Location Address
333 SMITH AVE N SAINT PAUL, MN 55102
Location Phone
(651) 735-0501
Location Fax
(651) 735-1870
Mailing Address
2700 SNELLING AVE N SUITE 400 ROSEVILLE, MN 55113
Mailing Phone
(651) 697-5876
Medical School Name
OTHER
Graduation Year
1989
Is Sole Proprietor?
No
Enumeration Date
09-15-2006
Last Update Date
10-27-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
R1099719
License State
MN
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
430003604MEDICARE ID-TYPE UNSPECIFIED (04)MN 
959542200MEDICAID (05)MN 

Medicare Participation & PECOS Enrollment Status

Mary Smith is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 2961528203

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20100923001564

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for lens surgery

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.

This service was performed 35 times for 35 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.9 for a new patient copayment and $17.43 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 55102 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $127.61
  • Minimum New Patient Price $56
  • Maximum New Patient Price $168.28
  • Average New Patient Copayment $31.9
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.07

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.74
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $138.04
  • Average Established Patient Copayment $17.43
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $34.51

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mary Smith is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ALLINA UNITED HOSPITAL333 NORTH SMITH AVENUE
SAINT PAUL, MN 55102
(763) 236-8205Acute Care Hospitals

Reviews for MARY JO SMITH CRNA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528164019
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
254826802
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 2 + 6 + 8 + 0 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1528164019 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316930456 JORGE ANTONIO FERREIRO MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)333 SMITH AVE N
SAINT PAUL, MN 55102
(651) 241-8701
1982678900 KEITH L THOMPSON CRNA
Individual
Nurse Anesthetist, Certified Registered333 SMITH AVE N
SAINT PAUL, MN 55102
(651) 241-8146
1508830399DR. THOMAS E KERSTEN M.D.
Individual
Specialist333 SMITH AVE N
SAINT PAUL, MN 55102
(952) 843-4333
1306810106DR. THOMAS J VONRUEDEN M.D.
Individual
Specialist333 SMITH AVE N
SAINT PAUL, MN 55102
(952) 843-4333
1700855277 ANN W WASSON MD
Individual
Obstetrics & Gynecology333 SMITH AVE N
SAINT PAUL, MN 55102
(651) 241-8414
1407816655 MERLE DAVID HILLMAN MD
Individual
Emergency Medicine333 SMITH AVE N
SAINT PAUL, MN 55102
(651) 241-8755
1225098486 JEFFREY G SWANSON MD
Individual
Emergency Medicine333 SMITH AVE N
SAINT PAUL, MN 55102
(651) 241-8755
1043270119 GERALD FRED PETERSON MD
Individual
Emergency Medicine333 SMITH AVE N
SAINT PAUL, MN 55102
(651) 241-8755
1154383016 SANDRA GREENQUIST CNM
Individual
Midwife333 SMITH AVE N
SAINT PAUL, MN 55102
(651) 241-5495
1851355648 CHRISTINE C. FENSKE NP
Individual
Clinical Nurse Specialist (Psychiatric/Mental Health)333 SMITH AVE N
SAINT PAUL, MN 55102
(651) 241-5278
1508822230DR. BEAU G. REINER
Individual
Anesthesiology333 SMITH AVE N
SAINT PAUL, MN 55102
(651) 735-0501
1386600609 RAINER G ROCHELEAU MD
Individual
Obstetrics & Gynecology333 SMITH AVE N
SAINT PAUL, MN 55102
(651) 241-8414
1104883792 RICHARDS D SHANK MD
Individual
Internal Medicine333 SMITH AVE N SUITE 4314A
SAINT PAUL, MN 55102
(651) 241-8436
1952368326 AMY J VETRUBA CRNA
Individual
Nurse Anesthetist, Certified Registered333 SMITH AVE N
SAINT PAUL, MN 55102
(651) 735-0501
1669424222 JAMES T HYNES MD
Individual
Emergency Medicine333 SMITH AVE N
SAINT PAUL, MN 55102
(651) 241-8755
1679527303 ANDREW FOSTER MELLIN MD
Individual
Internal Medicine333 SMITH AVE N STE 4314A
SAINT PAUL, MN 55102
(651) 241-8436
1699713305 RONALD J OTREMBA MD
Individual
Family Medicine333 SMITH AVE N
SAINT PAUL, MN 55102
(651) 241-8436
1114963097 MARGARET L GUTHRIE MD
Individual
Hospitalist333 SMITH AVE N SUITE 4314A
SAINT PAUL, MN 55102
(651) 241-8436
1356377477 MAREN B SANDERSON MD
Individual
Internal Medicine333 SMITH AVE N
SAINT PAUL, MN 55102
(651) 241-8436
1376570648 SALMAN SHAFIQ MD
Individual
Internal Medicine333 SMITH AVE N SUITE 4314A
SAINT PAUL, MN 55102
(651) 241-8451

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528164019, enumerated in the NPI registry as an "individual" on September 15, 2006

The provider is located at 333 Smith Ave N Saint Paul, Mn 55102 and the phone number is (651) 735-0501

The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

The provider has more than 37 years of experience.

The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Medicare beneficiaries should expect a typical cost of $127.61 with an average copayment of $31.9 for new patient appointments. Established patients should expect a typical charge of $69.74 and an average copayment of 17.43. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Anesthesia for lens surgery.

The practitioner is affiliated to the following hospital(s): ALLINA UNITED HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on September 15, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.