MRS. JENNIFER RENEE BAGWELL SMITH CRNA
NPI 1710217682
Nurse Anesthetist, Certified Registered in Fort Worth, TX

Active since December 28, 2009Accepts Medicare Assignment
416 S HENDERSON ST, FORT WORTH, TX 76104(682) 478-8123(888) 851-5356 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Jennifer Renee Bagwell Smith Crna NPPES

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

MRS. JENNIFER RENEE BAGWELL SMITH CRNA (NPI 1710217682) is an individual nurse anesthetist, certified registered in Fort Worth, Texas, licensed in Texas (AP118728) and active in the NPI registry since December 2009. She is a graduate of Other (2009).

NPPES Registry Identity

NPI1710217682
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMRS. JENNIFER RENEE BAGWELL SMITHCredential: CRNA
Location Address416 S HENDERSON STFort Worth, TX 76104-1017
Mailing Address301 Hillcrest StMidlothian, TX 76065-3608 · (817) 371-6241
Fax(888) 851-5356
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 28, 2009
Last NPPES UpdateJune 20, 2022
NPPES CertifiedJune 20, 2022
✔ NPI 1710217682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in TX · AP118728✔ Licensed in TX · 692657✔ Licensed in TX · 083700
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 692657 (TX)
416 S HENDERSON ST, Fort Worth, TX 76104

Other Names 1

Former Name (1)Mrs. Jennifer Renee Yowell Cupples

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jennifer Renee Bagwell Smith Crna 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 ID8123157104
PECOS Enrollment IDI20100601000421

Medicare Billing Reassignments

11

Medicare enrollment records show Jennifer Bagwell Smith reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
2120 MISTLETOE BLVD UNIT 2
Fort Worth, TX 76110
  • Reassigned Medicare billing, Texas enrollment
  • 35 clinicians in this Medicare group
Anesthesiology
4100 INTERNATIONAL PLZ STE 800
Fort Worth, TX 76109
  • Reassigned Medicare billing, Texas enrollment
  • 1,612 clinicians in this Medicare group
Anesthesiology
700 HIGHLANDER BLVD STE 415
Arlington, TX 76015
  • Reassigned Medicare billing, Texas enrollment
  • 24 clinicians in this Medicare group
Anesthesiology
1403 DARTMOUTH DR
Southlake, TX 76092
  • Reassigned Medicare billing, Texas enrollment
  • 447 clinicians in this Medicare group
Anesthesiology
8330 STERLING ST
Irving, TX 75063
  • Reassigned Medicare billing, Texas enrollment
  • 38 clinicians in this Medicare group
Anesthesiology
8330 STERLING ST
Irving, TX 75063
  • Reassigned Medicare billing, Texas enrollment
  • 121 clinicians in this Medicare group
Anesthesiology
25 HIGHLAND PARK VLG, SUITE 100765
Dallas, TX 75205
  • Reassigned Medicare billing, Texas enrollment
  • 62 clinicians in this Medicare group
Emergency Medical Services
2600 W PLEASANT RUN RD
Lancaster, TX 75146
  • Reassigned Medicare billing, Texas enrollment
  • 56 clinicians in this Medicare group
Anesthesiology
1916 HOPE WAY
Dallas, TX 75206
  • Reassigned Medicare billing, Texas enrollment
  • 61 clinicians in this Medicare group
Gastroenterology
399 W CAMPBELL RD STE 202
Richardson, TX 75080
  • Reassigned Medicare billing, Texas enrollment
  • 19 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Physician Assistant
416 S HENDERSON ST
FORT WORTH, TX 76104
Anesthesiology (Pain Medicine)
416 S HENDERSON ST
FORT WORTH, TX 76104
Anesthesiology (Pain Medicine)
416 S HENDERSON ST
FORT WORTH, TX 76104

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 Jennifer Bagwell Smith's NPI number?

The NPI number for Jennifer Bagwell Smith is 1710217682. It was assigned to this individual provider in the NPPES registry on December 28, 2009. The provider is also known as Mrs. Jennifer Renee Yowell Cupples.

Where is Jennifer Bagwell Smith located?

Jennifer Bagwell Smith practices at 416 S Henderson St, Fort Worth, TX 76104. The listed phone number is (682) 478-8123.

What is Jennifer Bagwell Smith's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jennifer Bagwell Smith enrolled in Medicare?

Yes. Jennifer Bagwell 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.

Which organizations bill Medicare for Jennifer Bagwell Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Bagwell Smith reassigns Medicare benefits to 11 organizations: Lewis 360 Medical Solutions PLLC (Fort Worth, TX), Emergenchealth PLLC (Fort Worth, TX), Lighthouse Anesthesia PLLC. (Arlington, TX), Texas Anesthesia Partners, PLLC (Southlake, TX), General Anesthesia Services, PLLC (Irving, TX) and 6 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Bagwell Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Bagwell Smith accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and UnitedHealthcare list Jennifer Bagwell 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 Jennifer Bagwell Smith was last updated on June 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.