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JORDAN SMITH CNM
NPI 1720700875
Advanced Practice Midwife in Berkeley, CA

Active since September 15, 2022PECOS EnrolledAccepts Medicare Assignment
3101 TELEGRAPH AVE, BERKELEY, CA 94705(510) 280-5543 Get Directions Write a Review

NPPES record last updated: October 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 30, 2022, Sep 15, 2022 (2 updates tracked since 2022).

About Jordan Smith Cnm NPPES

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

JORDAN SMITH CNM (NPI 1720700875) is an individual advanced practice midwife in Berkeley, California, licensed in California (236287) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1720700875
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameJORDAN SMITHCredential: CNM
Location Address3101 TELEGRAPH AVEBerkeley, CA 94705-1984
Mailing Address1209 34th StOakland, CA 94608-4133
Phone(510) 280-5543
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 15, 2022
Last NPPES UpdateOctober 30, 20222 updates tracked since enumeration
NPPES CertifiedOctober 30, 2022
✔ NPI 1720700875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
Licenses✔ Licensed in CA · 236287✔ Licensed in CA · CNM08000
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Also ListedMidwifeTaxonomy 176B00000X · License CNM08000 (CA)
3101 TELEGRAPH AVE, Berkeley, CA 94705
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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

Jordan Smith Cnm 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 ID7113396185
PECOS Enrollment IDI20250814003082
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94705 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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 20

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

LESLIE BANDLE
Marriage & Family Therapist
3101 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (408) 757-6431
ALISON FRANCES CHOU
Social Worker (Clinical)
3101 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (341) 226-6717
OPHELIA BUBNICK
Specialist
3101 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 812-7084
SYDNEY NOELLE JONES
Midwife
3101 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 280-5543
NATIONAL BIRTH CENTERS, INC.
Clinic/Center (Birthing)
3101 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (800) 349-4054
MS. CINDY LARA HAAG LM, CPM
Midwife
3101 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 725-8234
ANNA M MUSCO MA
Marriage & Family Therapist
3101 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 374-4607
SUMMER SADDY
Specialist
3101 TELEGRAPH AVE
BERKELEY, CA 94705
Alameda County (510) 812-7084

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 Jordan Smith's NPI number?

The NPI number for Jordan Smith is 1720700875. It was assigned to this individual provider in the NPPES registry on September 15, 2022.

Where is Jordan Smith located?

Jordan Smith practices at 3101 Telegraph Ave, Berkeley, CA 94705. The listed phone number is (510) 280-5543.

What is Jordan Smith's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Jordan Smith enrolled in Medicare?

Yes. Jordan 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.

When was this NPI record last updated?

The NPPES record for Jordan Smith was last updated on October 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.