Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Payne Smith, CRNA

Individual provider Registered Nurse · NPI 1275801870

Jacob Payne Smith, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Flagstaff, Arizona. Qualified in 2011, 15 years ago. Practices with Emergenchealth PLLC, a 1,024-clinician group and accepts Medicare assignment. Licensed in Arizona and Colorado.

Years since qualifying
15
Licensed in
AZ, CO
In the registry since
2011
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

77 W Forest Ave Ste 117
Flagstaff, AZ 86001-1482
Phone: (928) 773-2505
Fax: (928) 773-2504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 0940 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence 203222 (CO)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 100091 (CO)

Record details

NPI number1275801870
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 9, 2011
Last updated in NPPESSeptember 24, 2018
Mailing address77 W Forest Ave Ste 117, Flagstaff, AZ 86001-1482

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Emergenchealth Pllc — 1024 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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