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JACOB PAYNE SMITH CRNA
NPI 1275801870
Nurse Anesthetist, Certified Registered in Flagstaff, AZ

Active since December 09, 2011Accepts Medicare Assignment
77 W FOREST AVE STE 117, FLAGSTAFF, AZ 86001(928) 773-2505(928) 773-2504 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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

NPI1275801870
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJACOB PAYNE SMITHCredential: CRNA
Location Address77 W FOREST AVE STE 117Flagstaff, AZ 86001-1482
Mailing Address77 W Forest Ave Ste 117Flagstaff, AZ 86001-1482 · (928) 773-2505 · Fax (928) 773-2504
Phone(928) 773-2505
Fax(928) 773-2504
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 9, 2011
Last NPPES UpdateSeptember 24, 2018
✔ NPI 1275801870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in AZ · 0940✔ Licensed in CO · 100091
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 203222 (CO)
77 W FOREST AVE STE 117, Flagstaff, AZ 86001
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Other Identifiers 1

Medicaid274331YPVECO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas, Mountain Health CO-OP.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

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.

PECOS PAC ID9032377544
PECOS Enrollment IDI20210607002978, I20231004003816

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sidney Health Center

Critical Access Hospitals · Sidney, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number271344
Location216 14th Ave SWSidney, MT 59270 · Richland County
Emergency services Birthing friendly

Ascension Providence

Acute Care Hospitals · Waco, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450042
Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County
Emergency services Birthing friendly

Hendrick Medical Center Brownwood

Acute Care Hospitals · Brownwood, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450587
Location1501 Burnet DrBrownwood, TX 76801 · Brown County
Emergency services Birthing friendly

Nacogdoches Medical Center

Acute Care Hospitals · Nacogdoches, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450656
Location4920 NE Stallings DriveNacogdoches, TX 75965 · Nacogdoches County
Emergency services Birthing friendly

Seton Medical Center Harker Heights

Acute Care Hospitals · Harker Heights, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670080
Location850 W Central Texas ExpresswayHarker Heights, TX 76548 · Bell County
Emergency services Birthing friendly

Physician 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.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MATHIAS DARRELL RUPP CRNA
Nurse Anesthetist, Certified Registered
77 W FOREST AVE STE 117
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2505
MICHELLE L CARDON RN
Nurse Anesthetist, Certified Registered
77 W FOREST AVE STE 117
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2505
FOREST COUNTRY ANESTHESIA, P.C.
Anesthesiology
77 W FOREST AVE STE 117
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2505
DR. SAMANTHA ANN BUCHIKA MD
Anesthesiology
77 W FOREST AVE STE 117
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2505

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.

What insurance does Jacob Smith accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas 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, Ascension Providence, 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 7 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.