MS. JACKALYNN THERESE SMITH FNP-BC
NPI 1194575266
Nurse Practitioner - Family in Henderson, NV
About Ms. Jackalynn Therese Smith Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JACKALYNN THERESE SMITH FNP-BC (NPI 1194575266) is an individual family provider in Henderson, Nevada, licensed in Nevada (816978) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Ms. Jackalynn Therese Smith Fnp-bc 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.
Medicare Billing Reassignment
Medicare enrollment records show Jackalynn Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Henderson, NV 89015
- Reassigned Medicare billing, Nevada enrollment
- 521 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 89014 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HENDERSON, NV 89014
HENDERSON, NV 89014
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 Jackalynn Smith's NPI number?
The NPI number for Jackalynn Smith is 1194575266. It was assigned to this individual provider in the NPPES registry on March 25, 2024.
Where is Jackalynn Smith located?
Jackalynn Smith practices at 1397 Galleria Dr, Henderson, NV 89014. The listed phone number is (702) 436-5800.
What is Jackalynn Smith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jackalynn Smith enrolled in Medicare?
Yes. Jackalynn 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 organization bills Medicare for Jackalynn Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jackalynn Smith reassigns Medicare benefits to Intermountain Medical Holdings Nevada Inc (Henderson, NV). 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 Jackalynn 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 Jackalynn Smith was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ms. Jackalynn Therese Smith, FNP-BC · NPI 1194575266
Family physician in Henderson, Nevada. Individual provider, active in the CMS NPPES registry since March 25, 2024.
## Identity
- **NPI:** 1194575266 (Entity type: Individual)
- **Enumerated:** March 25, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 816978 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 1397 GALLERIA DR, Henderson, NV 89014-6661
- **Phone:** (702) 436-5800 · **Fax:** (702) 436-2420
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Intermountain Medical Holdings Nevada Inc (NPI 1245997279, Henderson, NV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 8, 2024
- **Other identifiers:** Other 816978 (NV); Medicaid 1194575266 (NV)
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Source: [NPI Profile](https://npiprofile.com/npi/1194575266) · Data from the CMS NPPES public registry.