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

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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