BENJAMIN R SMITH
NPI 1487804787
Community Health Worker in Boulder, CO

Active since September 23, 2008Opted out of Medicare · through Jan 14, 2028
1333 IRIS AVE, BOULDER, CO 80304(303) 443-8500 Get Directions Write a Review

NPPES record last updated: September 23, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Benjamin R Smith NPPES

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

BENJAMIN R SMITH (NPI 1487804787) is an individual community health worker in Boulder, Colorado and active in the NPI registry since September 2008. He has opted out of Medicare through January 14, 2028.

NPPES Registry Identity

NPI1487804787
Entity TypeIndividualMale
Primary Taxonomy172V00000X
Provider Legal NameBENJAMIN R SMITH
Location Address1333 IRIS AVEBoulder, CO 80304-2226
Mailing Address1333 Iris AveBoulder, CO 80304-2226 · (303) 443-8500
Sole ProprietorYes
Enumeration DateSeptember 23, 2008
NPI 1487804787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
1333 IRIS AVE, Boulder, CO 80304

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Benjamin R Smith has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 14, 2024 through January 14, 2028.

Opt-Out Effective DateJanuary 14, 2024
Opt-Out In Effect ThroughJanuary 14, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Social Worker
1333 IRIS AVE
BOULDER, CO 80304
Counselor (Mental Health)
1333 IRIS AVE
BOULDER, CO 80304
Psychiatry & Neurology (Psychiatry)
1333 IRIS AVE
BOULDER, CO 80304
Case Manager/Care Coordinator
1333 IRIS AVE
BOULDER, CO 80304

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 Benjamin Smith's NPI number?

The NPI number for Benjamin Smith is 1487804787. It was assigned to this individual provider in the NPPES registry on September 23, 2008.

Where is Benjamin Smith located?

Benjamin Smith practices at 1333 Iris Ave, Boulder, CO 80304. The listed phone number is (303) 443-8500.

What is Benjamin Smith's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

Is Benjamin Smith enrolled in Medicare?

No. Benjamin Smith has opted out of Medicare through January 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Benjamin Smith was last updated on September 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.