Mrs Misty D Smith, CRNA - Medicare Nurse Anesthetist, Certified Registered in Bossier City, LA

  1. Home
  2. Nurse Anesthetist - CR
  3. LA
  4. Bossier City
Mrs Misty D Smith, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bossier City, Louisiana. Her current practice location is 620 Manassas Cir, Bossier City, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 458-9088.

Mrs Misty D Smith is licensed to practice in Louisiana (license number AP06370) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790077089.

Contact Information

Mrs Misty D Smith, CRNA
620 Manassas Cir,
Bossier City, LA 71112-4842
(318) 458-9088
Not Available

Map and Direction




Provider's Profile

Full NameMrs Misty D Smith
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location620 Manassas Cir, Bossier City, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790077089
  • Provider Enumeration Date: 05/05/2011
  • Last Update Date: 07/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4284808486
  • Enrollment ID: I20131031000361

Medical Identifiers

Medical identifiers for Mrs Misty D Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790077089NPI-NPPES
794816OtherLALIC #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 794816 (Louisiana)Secondary
367500000XNurse Anesthetist, Certified Registered AP06370 (Louisiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Misty D Smith allows following entities to bill medicare on her behalf.
Entity NameShreveport Surgery Center Ptrshp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992925135
PECOS PAC ID: 9830141597
Enrollment ID: O20050210000899
Entity NameMedical Center Anesthesiologists
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669469748
PECOS PAC ID: 6608814843
Enrollment ID: O20050419001114
Entity NameRed River Anesthesia Services, A.p.m.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477734820
PECOS PAC ID: 5092898809
Enrollment ID: O20080219000360
Entity NameLsu Health Sciences Center Shreveport Faculty Group Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013374222
PECOS PAC ID: 4082902721
Enrollment ID: O20161012000307
Entity NameShreveport Sedation Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770083164
PECOS PAC ID: 3173886736
Enrollment ID: O20180412000333
Entity NameUniversity Health Shreveport, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619443611
PECOS PAC ID: 7416207196
Enrollment ID: O20181109000875
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20201020002548

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Misty D Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Misty D Smith, CRNA
620 Manassas Cir,
Bossier City, LA 71112-4842

Ph: (318) 458-9088		Mrs Misty D Smith, CRNA
620 Manassas Cir,
Bossier City, LA 71112-4842

Ph: (318) 458-9088

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Bossier City, LA

Monica N Collinsworth, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2400 Hospital Dr, Bossier City, LA 71111
Phone: 318-212-7000    
Farrah Lee Baker, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2400 Hospital Dr, Bossier City, LA 71111
Phone: 318-212-7000    
Dr. Colton Sedberry, DNP-A, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 3418 Grand Bayou Dr, Bossier City, LA 71111
Phone: 318-210-8173    
Larissa S Koll, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2400 Hospital Dr, Bossier City, LA 71111
Phone: 318-212-7000    
Mr. Jon Patrick Jeffcoat, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2105 Airline Dr, Bossier City, LA 71111
Phone: 318-549-2011    
Mr. Creighton K Cathey, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 603 Fall Winds Cir, Bossier City, LA 71111
Phone: 318-230-3000    
Dr. Jarred Dewayne Sepulvado, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 605 Tunica Trl, Bossier City, LA 71111
Phone: 318-780-0329    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.