DR. JACOB GLEN SMITH D.C.
NPI 1255790788
Chiropractor in Green River, WY

Active since February 11, 2016Accepts Medicare Assignment
107 COMMERCE DR, SUITE A, GREEN RIVER, WY 82935(307) 871-4411 Get Directions Write a Review

NPPES record last updated: June 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacob Glen Smith D.c. NPPES

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

DR. JACOB GLEN SMITH D.C. (NPI 1255790788) is an individual chiropractor in Green River, Wyoming, licensed in Wyoming (761) and active in the NPI registry since February 2016. He is a graduate of Other (2015).

NPPES Registry Identity

NPI1255790788
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JACOB GLEN SMITHCredential: D.C.
Location Address107 COMMERCE DR, SUITE AGreen River, WY 82935-6179
Mailing Address107 Commerce Dr, Suite AGreen River, WY 82935-6179 · (307) 871-4411
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 11, 2016
Last NPPES UpdateJune 6, 2016
NPI 1255790788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WY · 761
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
107 COMMERCE DR, Green River, WY 82935

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacob Glen Smith D.c. 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 ID42593618
PECOS Enrollment IDI20170207002357

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
212 services48 patients

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 Jacob Smith's NPI number?

The NPI number for Jacob Smith is 1255790788. It was assigned to this individual provider in the NPPES registry on February 11, 2016.

Where is Jacob Smith located?

Jacob Smith practices at 107 Commerce Dr Suite A, Green River, WY 82935. The listed phone number is (307) 871-4411.

What is Jacob Smith's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jacob Smith enrolled in Medicare?

Yes. Jacob 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.

What insurance does Jacob Smith accept?

Health plans from Blue Cross Blue Shield of Wyoming, Medica and UnitedHealthcare list Jacob Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Smith was last updated on June 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.