Jacob Payne Smith, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Flagstaff, AZ

  1. Home
  2. Nurse Anesthetist - CR
  3. AZ
  4. Flagstaff
Jacob Payne Smith, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Flagstaff, Arizona. He graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Sidney Health Center, Community Hospital Of Anaconda, Mid Tex Anesthesia Assoc and his current practice location is 77 W Forest Ave Ste 117, Flagstaff, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 773-2505.

Jacob Payne Smith is licensed to practice in Arizona (license number 0940) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1275801870.

Contact Information

Jacob Payne Smith, CRNA
77 W Forest Ave Ste 117,
Flagstaff, AZ 86001-1482
(928) 773-2505
(928) 773-2504

Map and Direction




Provider's Profile

Full NameJacob Payne Smith
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience15 Years
Location77 W Forest Ave Ste 117, Flagstaff, Arizona
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacob Payne Smith graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1275801870
  • Provider Enumeration Date: 12/09/2011
  • Last Update Date: 09/24/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9032377544
  • Enrollment ID: I20210607002978

Medical Identifiers

Medical identifiers for Jacob Payne Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275801870NPI-NPPES
274331YPVEMedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 203222 (Colorado)Secondary
367500000XNurse Anesthetist, Certified Registered 100091 (Colorado)Secondary
367500000XNurse Anesthetist, Certified Registered 0940 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sidney Health CenterSidney, MTHospital
Providence Health CenterWaco, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sidney Health Center074918153551
Community Hospital Of Anaconda812393897420
Mid Tex Anesthesia Assoc539581536927

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacob Payne Smith allows following entities to bill medicare on his behalf.
Entity NameCommunity Hospital Of Anaconda
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1205887924
PECOS PAC ID: 8123938974
Enrollment ID: O20030507000045
Entity NameCommunity Hospital Of Anaconda
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538597703
PECOS PAC ID: 8123938974
Enrollment ID: O20031119000745
Entity NameSidney Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376617191
PECOS PAC ID: 0749181535
Enrollment ID: O20040115000513
Entity NameSt Johns Lutheran Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952312050
PECOS PAC ID: 1557255676
Enrollment ID: O20040210000931
Entity NameSidney Health Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1285719161
PECOS PAC ID: 0749181535
Enrollment ID: O20061104000419
Entity NameSt Johns Lutheran Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1952312050
PECOS PAC ID: 1557255676
Enrollment ID: O20120405000136

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Payne Smith is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacob Payne Smith, CRNA
77 W Forest Ave Ste 117,
Flagstaff, AZ 86001-1482

Ph: (928) 773-2505		Jacob Payne Smith, CRNA
77 W Forest Ave Ste 117,
Flagstaff, AZ 86001-1482

Ph: (928) 773-2505

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Flagstaff, AZ

Elizabeth Gilmore, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-779-3366    
Juliana D Eichenberg, DNAP
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-773-2113    
Jack Gilbert Weiss, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001
Phone: 928-773-2505    Fax: 928-773-2504
Benjamin Henrie, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-779-3366    
Linda Allsop, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001
Phone: 928-773-2505    Fax: 928-773-2504
James Dean Bohn, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001
Phone: 928-773-2505    Fax: 928-773-2504
Elizabeth Parker, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001
Phone: 928-779-3366    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.