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NICHOLAS JAY SMITH
NPI 1316875370
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since May 11, 2026PECOS Enrolled
1300 N 12TH ST STE 508, PHOENIX, AZ 85006(602) 839-3927 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholas Jay Smith NPPES

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

NICHOLAS JAY SMITH (NPI 1316875370) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316875370
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICHOLAS JAY SMITH
Location Address1300 N 12TH ST STE 508Phoenix, AZ 85006-2849
Mailing Address1300 N 12th St Ste 508Phoenix, AZ 85006-2849
Phone(602) 839-3927
Sole ProprietorNo
Enumeration DateMay 11, 2026
NPPES CertifiedMay 11, 2026
✔ NPI 1316875370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1300 N 12TH ST STE 508, Phoenix, AZ 85006
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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)

Nicholas Jay Smith 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TREVIN REYES MD
Student in an Organized Health Care Education/Training Program
1300 N 12TH ST STE 508
PHOENIX, AZ 85006
Maricopa County (602) 839-3927
HUGH ALESSI MD
Internal Medicine
1300 N 12TH ST STE 508
PHOENIX, AZ 85006
Maricopa County (602) 839-3927
FADI JIRYIS KHOURY MD
Internal Medicine
1300 N 12TH ST STE 508
PHOENIX, AZ 85006
Maricopa County (602) 839-3927
BRITTNAY MAGGIE HONG MD
Student in an Organized Health Care Education/Training Program
1300 N 12TH ST STE 508
PHOENIX, AZ 85006
Maricopa County (602) 839-3927
JAKE BALDASARE MD
Student in an Organized Health Care Education/Training Program
1300 N 12TH ST STE 508
PHOENIX, AZ 85006
Maricopa County (602) 839-3927
DR. CECIL K BABUL
Student in an Organized Health Care Education/Training Program
1300 N 12TH ST STE 508
PHOENIX, AZ 85006
Maricopa County (602) 839-3927
DR. SYDNEY KRISTIN MILLER TOWNSEND MD
Student in an Organized Health Care Education/Training Program
1300 N 12TH ST STE 508
PHOENIX, AZ 85006
Maricopa County (602) 839-3927
DR. VICTORIA RENE RAMIREZ DO
Internal Medicine
1300 N 12TH ST STE 508
PHOENIX, AZ 85006
Maricopa County (602) 839-3927

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 Nicholas Smith's NPI number?

The NPI number for Nicholas Smith is 1316875370. It was assigned to this individual provider in the NPPES registry on May 11, 2026.

Where is Nicholas Smith located?

Nicholas Smith practices at 1300 N 12th St Ste 508, Phoenix, AZ 85006. The listed phone number is (602) 839-3927.

What is Nicholas Smith's specialty?

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

Is Nicholas Smith enrolled in Medicare?

Yes. Nicholas Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Smith was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.