JACOB SMITH
NPI 1457181968
Physician Assistant - Surgical in Tucson, AZ

Active since August 07, 2024PECOS EnrolledAccepts Medicare Assignment
2490 E RIVER RD STE 150, TUCSON, AZ 85718(520) 382-1084 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Smith NPPES

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

JACOB SMITH (NPI 1457181968) is an individual surgical provider in Tucson, Arizona and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1457181968
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJACOB SMITH
Location Address2490 E RIVER RD STE 150Tucson, AZ 85718-6522
Mailing Address1155 Heavenly Harvest Pl Unit 103Henderson, NV 89002-1014 · (208) 867-7134
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 7, 2024
NPPES CertifiedAugust 7, 2024
NPI 1457181968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
2490 E RIVER RD STE 150, Tucson, AZ 85718

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 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 ID42747479
PECOS Enrollment IDI20241226001294
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

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

Anesthesiology
2490 E RIVER RD STE 150
TUCSON, AZ 85718

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 1457181968. It was assigned to this individual provider in the NPPES registry on August 7, 2024.

Where is Jacob Smith located?

Jacob Smith practices at 2490 E River Rd Ste 150, Tucson, AZ 85718. The listed phone number is (520) 382-1084.

What is Jacob Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

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 Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. 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 August 7, 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.