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JACQUELINE NICOLE SMART MD
NPI 1174371850
Student in an Organized Health Care Education/Training Program in Kansas City, KS

Active since May 08, 2024PECOS Enrolled
2146 W 39TH STREET, KANSAS CITY, KS 66103(515) 419-9128 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacqueline Nicole Smart Md NPPES

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

JACQUELINE NICOLE SMART MD (NPI 1174371850) is an individual student in an organized health care education/training program in Kansas City, Kansas and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174371850
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACQUELINE NICOLE SMARTCredential: MD
Location Address2146 W 39TH STREETKansas City, KS 66103
Mailing Address122 Delaware St Unit 1213Kansas City, MO 64105-2528 · (515) 419-9128
Phone(515) 419-9128
Sole ProprietorNo
Enumeration DateMay 8, 2024
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 1, 2025
✔ NPI 1174371850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedDermatologyTaxonomy 207N00000X · License 9412370 (KS)
2146 W 39TH STREET, Kansas City, KS 66103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Nicole Smart Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Jacqueline Smart's NPI number?

The NPI number for Jacqueline Smart is 1174371850. It was assigned to this individual provider in the NPPES registry on May 8, 2024.

Where is Jacqueline Smart located?

Jacqueline Smart practices at 2146 W 39th Street, Kansas City, KS 66103. The listed phone number is (515) 419-9128.

What is Jacqueline Smart's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacqueline Smart enrolled in Medicare?

Yes. Jacqueline Smart is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Smart was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.