JANTSEN SMITH
NPI 1174054415
Internal Medicine - Critical Care Medicine in Albuquerque, NM

Active since March 27, 2017PECOS EnrolledAccepts Medicare Assignment
MSC 10 5550, I UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-4661 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2026, Apr 11, 2017, Mar 27, 2017 (3 updates tracked since 2017).

About Jantsen Smith NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JANTSEN SMITH (NPI 1174054415) is an individual critical care medicine provider in Albuquerque, New Mexico, licensed in Illinois (036153405) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Southern Illinois University School Of Medicine (2017).

NPPES Registry Identity

NPI1174054415
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameJANTSEN SMITH
Location AddressMSC 10 5550, I UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing AddressMsc 10 5550, I University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-4661
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2017
Enumeration DateMarch 27, 2017
Last NPPES UpdateMay 19, 20263 updates tracked since enumeration
NPPES CertifiedMay 19, 2026
✔ NPI 1174054415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in IL · 036153405
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036153405 (IL)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 036153405 (IL)
MSC 10 5550, Albuquerque, NM 87131

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jantsen Smith is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567733934
PECOS Enrollment IDI20200916001135
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Jantsen Smith reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
600 S 13TH ST, SUITE M
Pekin, IL 61554
  • Reassigned Medicare billing, Illinois enrollment
  • 142 clinicians in this Medicare group
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
Family Medicine
120 NE GLEN OAK AVE, SUITE 101
Peoria, IL 61603
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1265966048 (Illinois)
  • 693 clinicians in this Medicare group
Emergency Medicine
221 NE GLEN OAK AVE
Peoria, IL 61636
  • Reassigned Medicare billing, Illinois enrollment
  • 52 clinicians in this Medicare group
Ambulatory Surgical
5401 N KNOXVILLE AVE, STE 217
Peoria, IL 61614
  • Reassigned Medicare billing, Illinois enrollment
  • 349 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
MSC 10 5550, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Internal Medicine (Nephrology)
MSC 10 5550, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Internal Medicine
MSC 10 5550, I UNIVERSITY OF NEW MEXIXO
ALBUQUERQUE, NM 87131
Internal Medicine
MSC 10 5550, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC 10 5550, UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Internal Medicine
MSC 10 5550, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Internal Medicine
MSC 10 5550, UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Internal Medicine (Pulmonary Disease)
MSC 10 5550, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jantsen Smith's NPI number?

The NPI number for Jantsen Smith is 1174054415. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Where is Jantsen Smith located?

Jantsen Smith practices at Msc 10 5550 I University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-4661.

What is Jantsen Smith's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Jantsen Smith enrolled in Medicare?

Yes. Jantsen Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jantsen Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jantsen Smith reassigns Medicare benefits to 5 organizations: Pekin Prohealth Inc (Pekin, IL), Osf Multi-Specialty Group (Peoria, IL), Methodist Medical Center Of Illinois (Peoria, IL), Epss, LLC- Metro Series (Peoria, IL) and Proctor Health Systems (Peoria, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jantsen Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jantsen Smith affiliated with any hospitals?

According to CMS data, Jantsen Smith is affiliated with Saint Francis Medical Center and St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Jantsen Smith was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.