JIMMY D SMITH JR. FNP
NPI 1629027925
Nurse Practitioner - Family in Prescott, AZ

Active since May 06, 2006PECOS EnrolledAccepts Medicare Assignment
1001 WILLOW CREEK RD STE 2200, PRESCOTT, AZ 86301(928) 445-6025(928) 778-3026 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 12, 2025, Nov 14, 2023 (2 updates tracked since 2023).

About Jimmy D Smith Jr. Fnp NPPES

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

JIMMY D SMITH JR. FNP (NPI 1629027925) is an individual family provider in Prescott, Arizona, licensed in Arizona (AP2306) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1629027925
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJIMMY D SMITH JR.Credential: FNP
Location Address1001 WILLOW CREEK RD STE 2200Prescott, AZ 86301-1614
Mailing Address1001 Willow Creek Rd Ste 2200Prescott, AZ 86301-1614 · (602) 406-4786 · Fax (916) 636-4358
Fax(928) 778-3026
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 6, 2006
Last NPPES UpdateMarch 12, 20252 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
NPI 1629027925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AZ · AP2306
1001 WILLOW CREEK RD STE 2200, Prescott, AZ 86301

Other Identifiers 2

Medicaid084440AZ
OtherZ142983AZ · Medicare

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

Jimmy D Smith Jr. Fnp 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 ID7719992023
PECOS Enrollment IDI20060208000074
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
815 services754 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
456 services440 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier17 claims17 services$90.92 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$33.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Adult Health)
1001 WILLOW CREEK RD STE 2200
PRESCOTT, AZ 86301
Internal Medicine (Cardiovascular Disease)
1001 WILLOW CREEK RD STE 2200
PRESCOTT, AZ 86301
Nurse Practitioner (Family)
1001 WILLOW CREEK RD STE 2200
PRESCOTT, AZ 86301
Physician Assistant
1001 WILLOW CREEK RD STE 2200
PRESCOTT, AZ 86301
Internal Medicine (Clinical Cardiac Electrophysiology)
1001 WILLOW CREEK RD STE 2200
PRESCOTT, AZ 86301
Physician Assistant (Medical)
1001 WILLOW CREEK RD STE 2200
PRESCOTT, AZ 86301
Internal Medicine (Cardiovascular Disease)
1001 WILLOW CREEK RD STE 2200
PRESCOTT, AZ 86301
Internal Medicine (Interventional Cardiology)
1001 WILLOW CREEK RD STE 2200
PRESCOTT, AZ 86301

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 Jimmy Smith's NPI number?

The NPI number for Jimmy Smith is 1629027925. It was assigned to this individual provider in the NPPES registry on May 6, 2006.

Where is Jimmy Smith located?

Jimmy Smith practices at 1001 Willow Creek Rd Ste 2200, Prescott, AZ 86301. The listed phone number is (928) 445-6025.

What is Jimmy Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jimmy Smith enrolled in Medicare?

Yes. Jimmy 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 Jimmy Smith accept?

Health plans from Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Jimmy 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 Jimmy Smith was last updated on March 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.