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

Jacqueline Smith

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1346095643

Jacqueline Smith is a Physician Assistant in Gilbert, Arizona. Qualified in 2025, 1 year ago. Practices with Pacific Emergency Providers a Prof Corp, a 24-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2024

Practice location Address checks out

1925 E Bay Tree Ct
Gilbert, AZ 85234-4937
Phone: (480) 268-5539
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1346095643
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 19, 2024
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024
Mailing address1925 E Bay Tree Ct, Gilbert, AZ 85234-4937

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Pacific Emergency Providers A Prof Corp — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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