Jacob Payne Smith, CRNA
Certified Registered Nurse Anesthetist · Flagstaff, AZ
Jacob Payne Smith, CRNA is a certified registered nurse anesthetist with a practice address in Flagstaff, Arizona, and NPI 1275801870, issued on Dec 9, 2011. Check the license (Arizona 0940, as entered in NPPES) with the Arizona board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jacob Payne Smith
- Credential
- CRNA
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License numbers
- 0940 AZ
100091 CO
203222 CO
Self-reported in NPPES; status is on the state search - Practice location
- 77 W Forest Ave Ste 117, Flagstaff, AZ 86001
- Phone
- (928) 773-2505
- Enumerated
- Dec 9, 2011
- Record last updated
- Sep 24, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (928) 773-2504
- Medicaid ID
- 274331YPVE CO
- Medicare enrollment
- Enrolled (PECOS I20231004003816); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest certified registered nurse anesthetist records → All 1,100 in Arizona → Look up another NPI →
Also registered at 77 W Forest Ave Ste 117
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Samantha Buchika, MDAnesthesiology Physician1972511608
- Michelle Cardon, RNCertified Registered Nurse Anesthetist1396061842
- Mathias Rupp, CRNACertified Registered Nurse Anesthetist1164822920
Verify Jacob Payne Smith in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Arizona board licenses this profession
Search for license 0940Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3 hospitals and group practices
- Community Hospital OF AnacondaAnaconda, MT · Critical Access Hospitals5 of 5 stars
- Emergenchealth PLLCAustin, TX
- Mid Tex Anesthesia AssocWaco, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Jacob Payne Smith among 1,100 certified registered nurse anesthetist records in Arizona
Jacob Payne Smith, CRNA is one of 1,100 certified registered nurse anesthetist records with a practice address in Arizona. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 35% of them.
- NPI issued2011 · 35% of these records are older, 62% newer
- In a Medicare fileYes · 84% of these records are
- In the CMS Doctors and Clinicians fileYes · 81% of these records are
- Graduated2011 · median 2017 among the 891 with a school on file
- Record last updated2018 · 43% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
41 certified registered nurse anesthetist records list a practice address in Flagstaff
They are 41 of the 2,419 NPPES records with a practice address in Flagstaff, and 1,100 certified registered nurse anesthetist records in Arizona.
All 1,100 in Arizona → Every provider in Flagstaff → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- Melissa Acquaviva, CRNAFlagstaff, AZ 860011639238348
- Linda Allsop, CRNAFlagstaff, AZ 860011215946298
- James Bohn, CRNAFlagstaff, AZ 860011255340238
- Joshua BushFlagstaff, AZ 860011669708657
- Michelle Cardon, RNFlagstaff, AZ 860011396061842
- Jennifer Crownhart, CRNAFlagstaff, AZ 860011639252125
- Kelly Gappa, CRNAFlagstaff, AZ 860011861419756
- Tara Herrero, CRNAFlagstaff, AZ 860011376565291
Common questions
What is Jacob Payne Smith, CRNA's NPI number?
Jacob Payne Smith, CRNA's National Provider Identifier (NPI) is 1275801870, issued on Dec 9, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Jacob Payne Smith, CRNA located?
The NPPES record lists a practice address at 77 W Forest Ave Ste 117, Flagstaff, AZ, 86001. Phone: (928) 773-2505. Providers update this record themselves, so call before visiting.
How can I verify Jacob Payne Smith, CRNA's license?
NPPES lists Arizona license number 0940, as entered by the provider. Search the Arizona board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.