JESSE ENOCH SMITH APRN
NPI 1174099170
Nurse Practitioner - Family in Burlington, CO
About Jesse Enoch Smith Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSE ENOCH SMITH APRN (NPI 1174099170) is an individual family provider in Burlington, Colorado, licensed in Colorado (APN-0994197-NP) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jesse Enoch Smith Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jesse Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Burlington, CO 80807
- Reassigned Medicare billing, Colorado enrollment
- 20 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80807 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BURLINGTON, CO 80807
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 Jesse Smith's NPI number?
The NPI number for Jesse Smith is 1174099170. It was assigned to this individual provider in the NPPES registry on October 17, 2018.
Where is Jesse Smith located?
Jesse Smith practices at 182 16th St, Burlington, CO 80807. The listed phone number is (719) 346-9481.
What is Jesse Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jesse Smith enrolled in Medicare?
Yes. Jesse Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jesse Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Smith reassigns Medicare benefits to Kit Carson County Health Services District (Burlington, CO). The 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 Jesse Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jesse Smith was last updated on October 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.
# Jesse Enoch Smith, APRN · NPI 1174099170
Family physician in Burlington, Colorado. Individual provider, active in the CMS NPPES registry since October 17, 2018.
## Identity
- **NPI:** 1174099170 (Entity type: Individual)
- **Enumerated:** October 17, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APN-0994197-NP (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 182 16TH ST, Burlington, CO 80807-1649
- **Phone:** (719) 346-9481 · **Fax:** (719) 346-9485
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kit Carson County Health Services District (NPI 1932211596, Burlington, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1174099170) · Data from the CMS NPPES public registry.