JACOB PAYNE SMITH CRNA
NPI 1275801870
Nurse Anesthetist, Certified Registered in Flagstaff, AZ
About Jacob Payne Smith Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB PAYNE SMITH CRNA (NPI 1275801870) is an individual nurse anesthetist, certified registered in Flagstaff, Arizona, licensed in Arizona (0940) and active in the NPI registry since December 2011. He is affiliated with Sidney Health Center and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
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
Jacob Payne Smith Crna 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 Reassignments
7Medicare enrollment records show Jacob Smith reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Butte, MT 59701
- Reassigned Medicare billing, Montana enrollment
- Also billed through NPI 1538597703 (Montana)
- 81 clinicians in this Medicare group
Fort Worth, TX 76109
- Reassigned Medicare billing, Texas enrollment
- 1,612 clinicians in this Medicare group
Arlington, TX 76006
- Reassigned Medicare billing, Texas enrollment
- 1,164 clinicians in this Medicare group
Waco, TX 76712
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Mid Tex Anesthesia Associates, P.A.
- 32 clinicians in this Medicare group
Owasso, OK 74055
- Reassigned Medicare billing, Texas enrollment
- 27 clinicians in this Medicare group
Libby, MT 59923
- Reassigned Medicare billing, Montana enrollment
- Medicare enrollment name: St Johns Lutheran Hospital Inc
- 67 clinicians in this Medicare group
Brighton, MI 48114
- Reassigned Medicare billing, Arizona enrollment
- 370 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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sidney Health Center
Critical Access Hospitals · Sidney, MTHendrick Medical Center Brownwood
Acute Care Hospitals · Brownwood, TXNacogdoches Medical Center
Acute Care Hospitals · Nacogdoches, TXSeton Medical Center Harker Heights
Acute Care Hospitals · Harker Heights, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 86001 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.
FLAGSTAFF, AZ 86001
FLAGSTAFF, AZ 86001
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 1275801870. It was assigned to this individual provider in the NPPES registry on December 9, 2011.
Where is Jacob Smith located?
Jacob Smith practices at 77 W Forest Ave Ste 117, Flagstaff, AZ 86001. The listed phone number is (928) 773-2505.
What is Jacob Smith's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
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.
Which organizations bill Medicare for Jacob Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Smith reassigns Medicare benefits to 7 organizations: Community Hospital Of Anaconda (Butte, MT), Emergenchealth PLLC (Fort Worth, TX), Northstar Anesthesia, PA (Arlington, TX), Mid Tex Anesthesia Associates, PA (Waco, TX), New Era Anesthesia Services PLLC (Owasso, OK) and 2 more organizations, listed in the Medicare section above. 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 Jacob Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Smith accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas, Cigna HealthCare of Arizona, Inc and Mountain Health CO-OP 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.
Is Jacob Smith affiliated with any hospitals?
According to CMS data, Jacob Smith is affiliated with Sidney Health Center, Hendrick Medical Center Brownwood, Nacogdoches Medical Center and Seton Medical Center Harker Heights.
When was this NPI record last updated?
The NPPES record for Jacob Smith was last updated on September 24, 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.
# Jacob Payne Smith, CRNA · NPI 1275801870
Nurse Anesthetist, Certified Registered physician in Flagstaff, Arizona. Individual provider, active in the CMS NPPES registry since December 9, 2011.
## Identity
- **NPI:** 1275801870 (Entity type: Individual)
- **Enumerated:** December 9, 2011
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 0940 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 77 W FOREST AVE STE 117, Flagstaff, AZ 86001-1482
- **Phone:** (928) 773-2505 · **Fax:** (928) 773-2504
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Community Hospital Of Anaconda (NPI 1205239076, Butte, MT); Emergenchealth PLLC (NPI 1467970897, Fort Worth, TX); Northstar Anesthesia, PA (NPI 1912978610, Arlington, TX); Mid Tex Anesthesia Associates, PA (NPI 1174612857, Waco, TX); New Era Anesthesia Services PLLC (NPI 1285560425, Owasso, OK); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** September 24, 2018
- **Other identifiers:** Medicaid 274331YPVE (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1275801870) · Data from the CMS NPPES public registry.