JACOB ROBERT SMITH MD
NPI 1417535360
Family Medicine in Fayetteville, AR
About Jacob Robert Smith Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB ROBERT SMITH MD (NPI 1417535360) is an individual family medicine provider in Fayetteville, Arkansas, licensed in Texas (T9799) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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 Robert Smith Md 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
4Medicare enrollment records show Jacob Smith reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fayetteville, AR 72703
- Reassigned Medicare billing, Arkansas enrollment
- 2,038 clinicians in this Medicare group
Little Rock, AR 72202
- Reassigned Medicare billing, Arkansas enrollment
- 653 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Arkansas and Texas enrollments
- 354 clinicians in this Medicare group
Irving, TX 75038
- Reassigned Medicare billing, Texas enrollment
- 802 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72703 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAYETTEVILLE, AR 72703
FAYETTEVILLE, AR 72703
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 1417535360. It was assigned to this individual provider in the NPPES registry on March 31, 2021.
Where is Jacob Smith located?
Jacob Smith practices at 201 W Van Asche Loop, Fayetteville, AR 72703. The listed phone number is (479) 966-4491.
What is Jacob Smith's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
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 4 organizations: University Of Arkansas For Medical Sciences (Fayetteville, AR), Arkansas Childrens Professional Services Organization LLC (Little Rock, AR), Signify Health Medical Associates, PLLC (Dallas, TX) and Vpa Of Texas PLLC (Irving, TX). 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 Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers 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.
When was this NPI record last updated?
The NPPES record for Jacob Smith was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jacob Robert Smith, MD · NPI 1417535360
Family Medicine physician in Fayetteville, Arkansas. Individual provider, active in the CMS NPPES registry since March 31, 2021.
## Identity
- **NPI:** 1417535360 (Entity type: Individual)
- **Enumerated:** March 31, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** T9799 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 W VAN ASCHE LOOP, Fayetteville, AR 72703-4996
- **Phone:** (479) 966-4491 · **Fax:** (479) 966-4311
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): University Of Arkansas For Medical Sciences (NPI 1720217599, Fayetteville, AR); Arkansas Childrens Professional Services Organization LLC (NPI 1629889464, Little Rock, AR); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX); Vpa Of Texas PLLC (NPI 1679510499, Irving, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417535360) · Data from the CMS NPPES public registry.