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, and ordering and referring status from the CMS PECOS system.
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.
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.
What insurance does Jacob Smith accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 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 4 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
- **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.