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JACQUELINE SMITH
NPI 1346095643
Student in an Organized Health Care Education/Training Program in Gilbert, AZ

Active since April 19, 2024PECOS EnrolledAccepts Medicare Assignment
1925 E BAY TREE CT, GILBERT, AZ 85234(480) 268-5539 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline Smith NPPES

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

JACQUELINE SMITH (NPI 1346095643) is an individual student in an organized health care education/training program in Gilbert, Arizona and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1346095643
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACQUELINE SMITH
Location Address1925 E BAY TREE CTGilbert, AZ 85234-4937
Mailing Address1925 E Bay Tree CtGilbert, AZ 85234-4937
Phone(480) 268-5539
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 19, 2024
NPPES CertifiedApril 19, 2024
✔ NPI 1346095643 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.
1925 E BAY TREE CT, Gilbert, AZ 85234
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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 and accepts Medicare assignment

Jacqueline Smith 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 ID345710364
PECOS Enrollment IDI20260529004070
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.

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 Jacqueline Smith's NPI number?

The NPI number for Jacqueline Smith is 1346095643. It was assigned to this individual provider in the NPPES registry on April 19, 2024.

Where is Jacqueline Smith located?

Jacqueline Smith practices at 1925 E Bay Tree Ct, Gilbert, AZ 85234. The listed phone number is (480) 268-5539.

What is Jacqueline 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 Jacqueline Smith enrolled in Medicare?

Yes. Jacqueline 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.

When was this NPI record last updated?

The NPPES record for Jacqueline Smith was last updated on April 19, 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.