JACQUELYN RAE SMITH D.O.
NPI 1356630800
Radiology - Diagnostic Radiology in Lakewood, CO
About Jacquelyn Rae Smith D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELYN RAE SMITH D.O. (NPI 1356630800) is an individual diagnostic radiology provider in Lakewood, Colorado, licensed in Colorado (DR.0056367) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Cook Childrens Medical Center, and maintains a secondary practice location in Fort Worth.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 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
Jacquelyn Rae Smith D.o. 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
16Medicare enrollment records show Jacquelyn Smith reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Murray, UT 84107
- Reassigned Medicare billing, Colorado enrollment
- 27 clinicians in this Medicare group
Mesa, AZ 85202
- Reassigned Medicare billing, Colorado enrollment
- 63 clinicians in this Medicare group
Fort Worth, TX 76244
- Reassigned Medicare billing, Colorado enrollment
- 9 clinicians in this Medicare group
Flower Mound, TX 75028
- Reassigned Medicare billing, Colorado enrollment
- 9 clinicians in this Medicare group
Fort Worth, TX 76107
- Reassigned Medicare billing, Colorado and Texas enrollments
- 4 clinicians in this Medicare group
Grapevine, TX 76051
- Reassigned Medicare billing, Colorado enrollment
- 9 clinicians in this Medicare group
Frisco, TX 75034
- Reassigned Medicare billing, Colorado enrollment
- 9 clinicians in this Medicare group
Carrollton, TX 75010
- Reassigned Medicare billing, Colorado enrollment
- 9 clinicians in this Medicare group
Plano, TX 75093
- Reassigned Medicare billing, Colorado enrollment
- 9 clinicians in this Medicare group
Allen, TX 75013
- Reassigned Medicare billing, Colorado enrollment
- 9 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cook Childrens Medical Center
Childrens · Fort Worth, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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.
LAKEWOOD, CO 80401
LAKEWOOD, CO 80401
LAKEWOOD, CO 80401
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 Jacquelyn Smith's NPI number?
The NPI number for Jacquelyn Smith is 1356630800. It was assigned to this individual provider in the NPPES registry on April 6, 2011. The provider is also known as Jacquelyn Rae Garcia D.O..
Where is Jacquelyn Smith located?
Jacquelyn Smith practices at 1746 Cole Blvd Ste 150, Lakewood, CO 80401. The listed phone number is (303) 914-8800.
What is Jacquelyn Smith's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Jacquelyn Smith enrolled in Medicare?
Yes. Jacquelyn 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 Jacquelyn Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Smith reassigns Medicare benefits to 16 organizations: Mountain Medical Physician Specialists PC (Murray, UT), Sonoran Radiology Ltd (Mesa, AZ), North Star Mcd, LLC (Fort Worth, TX), North Star Fm, LP (Flower Mound, TX), Radiology Associates Of North Texas PA (Fort Worth, TX) and 11 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 Jacquelyn Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacquelyn Smith accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 7 other insurers list Jacquelyn 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 Jacquelyn Smith affiliated with any hospitals?
According to CMS data, Jacquelyn Smith is affiliated with Cook Childrens Medical Center.
When was this NPI record last updated?
The NPPES record for Jacquelyn Smith was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jacquelyn Rae Smith, D.O. · NPI 1356630800
Diagnostic Radiology physician in Lakewood, Colorado. Individual provider, active in the CMS NPPES registry since April 6, 2011.
## Identity
- **NPI:** 1356630800 (Entity type: Individual)
- **Enumerated:** April 6, 2011
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** DR.0056367 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 1746 COLE BLVD STE 150, Lakewood, CO 80401
- **Phone:** (303) 914-8800 · **Fax:** (303) 716-3777
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 16 organizations under Medicare reassignment (form CMS-855R): Mountain Medical Physician Specialists PC (NPI 1720035520, Murray, UT); Sonoran Radiology Ltd (NPI 1033745708, Mesa, AZ); North Star Mcd, LLC (NPI 1700550282, Fort Worth, TX); North Star Fm, LP (NPI 1174812028, Flower Mound, TX); Radiology Associates Of North Texas PA (NPI 1710970975, Fort Worth, TX); and 11 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Texas Hsc, College Of Osteopathic Med, class of 2011
## Record status
- **NPPES last updated:** December 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1356630800) · Data from the CMS NPPES public registry.