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

Jacob Smith, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1336004654

Jacob Smith, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Coeur D Alene, Idaho. Qualified in 2021, 5 years ago. Practices with Anesthesia Associates of Coeur D Alene PLLC, a 58-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
5
Licensed in
ID
In the registry since
2025
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

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone: (208) 625-4000
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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 9471892 (ID)

Record details

NPI number1336004654
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedDecember 18, 2025
Last updated in NPPESJanuary 17, 2026
Certification dateJanuary 17, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Anesthesia Associates Of Coeur D Alene Pllc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Coeur D Alene