JACOB SMITH
NPI 1457181968
Physician Assistant - Surgical in Albuquerque, NM
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 Albuquerque, New Mexico 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
Specialties & Licenses 2
Group Practice 1
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.
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.
ALBUQUERQUE, NM 87110
ALBUQUERQUE, NM 87110
ALBUQUERQUE, NM 87110
ALBUQUERQUE, NM 87110
ALBUQUERQUE, NM 87110
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 2100 Louisiana Blvd NE Ste 410, Albuquerque, NM 87110. The listed phone number is (505) 724-4300.
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 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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 Smith · NPI 1457181968
Surgical physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since August 7, 2024.
## Identity
- **NPI:** 1457181968 (Entity type: Individual)
- **Enumerated:** August 7, 2024
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2100 LOUISIANA BLVD NE STE 410, Albuquerque, NM 87110-5412
- **Phone:** (505) 724-4300
## 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 2024
## Record status
- **NPPES last updated:** August 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1457181968) · Data from the CMS NPPES public registry.